In December 2022, Patricia Hewitt, chair of Norfolk and Waveney Integrated Care Board, began a review of the oversight, governance and accountability of integrated care systems (ICSs).
The final report, released in April 2023, proposes greater autonomy to enable ICSs to better prevent ill health and improve NHS productivity and care, matched by renewed accountability.
If fully implemented, the review’s recommendations offer a step change in enabling ICSs to deliver their four main statutory purposes.
- fewer central targets
- enabling a shift towards upstream investment in prevention
- multi-year funding
- payment mechanism flexibility
- reconsidering cuts to the running cost allowance.
This section brings together our summary and analysis of the key findings and recommendations, wider commentary on ICS autonomy and accountability and podcasts featuring Patricia Hewitt and NHS Confederation chief executive, Matthew Taylor.
The government’s response to the Hewitt review and the Health and Social Care Select Committee report
Summary and analysis of the government's response to the Hewitt review, and to the Health and Social Care Select Committee's inquiry into ICSs.
20 June 2023
News and comment
NHS Confederation reacts to government's response to Hewitt Review
Matthew Taylor chief executive of the NHS Confederation comments on the government's response to the Hewitt Review
14 June 2023
NHS Confederation responds to the Hewitt Review
NHS Confederation representatives respond to the Hewitt Review.
3 April 2023
ICS Network’s support for the Hewitt review's proposals
Joint letter endorses the principles and proposals of the Hewitt review and urges the Secretary of State to implement them as soon as possible.
4 April 2023
Accountability and autonomy in the NHS in England
Sir Chris Ham reflects on progress made against his recommendations on the conditions ICSs need to succeed and on next steps for the Hewitt review.
5 January 2023
Patricia Hewitt: There’s a real chance to tackle health differently this time
Patricia Hewitt on how integrated care systems can support people to live longer, healthier and happier lives.
4 April 2023
Edward JonesSenior Policy Adviser
Edward works on policy within the ICS Network Team but previously worked at a public affairs agency where he specialised in health policy.