3 Suffolk and North East Essex ICS | ‘Our Journey Together’ Contents Foreword 2 Executive Summary 4 1. Introduction 5 1.1 Context for this report 5 1.2 Why a learning and legacy project in Suffolk and North East Essex? 6 1.3 Approach and methodology 8 2. Our evolution – how we evolved as an ICS 9 2.1 History of health and social care integration in England 9 2.2 Suffolk and North East Essex STP – 2016-17 9 2.3 Shadow ICS Status – 2018-19 10 2.4 The ICS through the pandemic – 2020-21 12 2.5 Transition to a statutory Integrated Care System – 2022-24 13 2.6 A new direction for Integrated Care Systems – 2025-26 14 3. Our actions and their impact – what we did and how it made a difference 15 3.1 Contribution vs attribution 15 3.2 We brought people and organisations together in new ways 16 3.3 We shared our resources and data 18 3.4 We enabled new investment into the system 20 3.5 We heard the voices of everyone in the system 22 3.6 We focused on improving population health and wellbeing outcomes 25 4. Our challenges 27 4.1 Non-coterminous geographic boundaries 27 4.2 Demographic and socio-economic trends 29 5. Our learning – enabling system change 33 5.1 Perspectives on ICS success 33 5.2 Build the system on values, principles and relationships 34 5.3 Put purpose before structure 35 5.4 Create opportunities to build belonging and understanding 38 5.5 Actively redistribute power 40 5.6 Maintain a focus on system leadership and culture 43 5.7 Enable change and transformation to evolve 46 5.8 Nurture a healthy ecosystem that enables everyone to thrive 48 6. Our legacy 49 6.1 A new landscape for health and care 49 6.2 New opportunities 51 7. External perspectives 53 7.1 A leadership perspective – Hult Ashridge Executive Education 53 7.2 A system change perspective – University of York 55 7.3 An integration and collaboration perspective – The King’s Fund 57 7.4 A whole systems stewardship perspective – Future of Health and Imperial College Business School 57 7.5 A national policy perspective – NHS Confederation 59 8. Local reflections 60 References and links to ICS publications 62
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