Report

Time to be radical? : The view from system leaders on the future of system by default

A detailed look at the direction of travel systems want to see as we look towards a coherent future vision for system by default.
William Pett

30 June 2020

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With NHS England and NHS Improvement and the government both seeking to recommence ‘system by default’ over the coming months, the NHS Confederation’s ICS Network convened a joint session of sustainability and transformation partnership (STP) and integrated care system (ICS) leaders and independent chairs (‘system leaders’) in June 2020, to ask the question: ‘what next for system working?’

Through a poll of 40 system leaders, the network looked to assess which direction of travel systems themselves would like to see, as we begin to look beyond the emergency response to COVID-19 and towards a coherent future vision for system by default. 

The results of the poll, outlined in this report, serve as a useful gauge of what the aspirations are for the future as we start to look at what system by default might look like in practice.