ICS design framework

The place leader on behalf of the Integrated Care Board, will work with place partners in an inclusive, transparent and collaborative way to contribute to:

• Strong and effective place-based partnerships between sectors with full involvement of all partners who contribute to the place’s health and care
• A continued strong strategic relationship with health and wellbeing boards.

            They will have four main roles:

• to support and develop primary care networks (PCNs) which join up primary and community services across local neighbourhoods;
• to simplify, modernise and join up health and care (including through technology and by joining up primary and secondary care where appropriate);
• to understand and identify – using population health management techniques and other intelligence – people and families at risk of being left behind and to organise proactive support for them; and
• to coordinate the local contribution to health, social and economic development to prevent future risks to ill-health within different population groups.

            They will need:

• appropriate resources, autonomy and decision-making capabilities to discharge these roles effectively.
• clear but flexible governance and accountability framework that enables collaboration around funding and financial accountability, commissioning and risk management, including the ability and mechanisms for delegated budgets.

• The ICB place-based team should be managed by a ICB Place Director or other named role.
• If delegation to Place is significant then there should be placed based senior management teams, led and line-managed by Place Directors, that will be responsible for all functions which are determined to be delegated to place level.
• The ICB place-based senior management team should have formal governance arrangements recognised and has congruence with the ICB/ICP and agreed mechanism of delegation. This management team and structure is separate from the ICP structure and the ICS executive.

• • Place Director
    • The place Director will manage the senior management team that delivers the place-based functions that are determined to be delegated to ICB (ICS) place-based teams. e.g.  safeguarding, Infection Prevention and Control, learning disabilities, CHC, etc.  Where performing a combined role they may also take on the duties set out below.
  • ICP Director (or equivalent)
    • Line managed by the Place Director, or reporting separately to the ICP, and will convene/lead the ICP and manage the transformation team and others that support the work and continued development of the ICP and PCNs.
  • Place Planning and Transformation Lead
    • Line managed by the Place Director, or reporting separately to the ICP, and will lead on planning and transformation including managing the place-based transformation team.
  • Place Nurse/Quality Lead
    • With professional oversight from the relevant ICS director but line managed by the Place Director.
  • Place Finance Lead
    • With professional oversight from the relevant ICS director but line managed by the Place Director.

• ICS Place-based teams should also be supported by the already established system wide HR and OD team. Corporate support should replicate this model.
• The ICPs should be supported by a team employed by the ICS, dedicated and based at place e.g. a CCG’s current transformation team. This may be managed separately e.g.  by Place Planning and Transformation Lead/ICP Director, or similar, or fall within the remit of the Place Director (a matter for each Place to determine). 
• The ICS place-based team would sit alongside any place-based provider collaborative and ICP and provide support and resource as appropriate to the ICP (e.g. BI, finance, admin support etc).