Transition FAQs

Our transition from a Clinical Commissioning Group (CCG) to an Integrated Care Board (ICB) is linked directly to changes proposed in the Health and Care Bill. Because of this some of the detail is not yet known about what this change will mean, but wherever possible we want to share with colleagues answers to the questions that are arising about the transition both to an ICB and also an Integrated Care System (ICS) that is on statutory footing.

This page contains questions – and answers – that have been captured via staff briefings, Ask EMT submissions and drop ins, the staff engagement workshops in February and March and also those submitted via team meetings and various other means.

Whilst some can’t be addressed just yet, we will provide answers as they come to light and this page will continue to be updated regularly. We will also continue to share information through existing channels including staff briefings and staff newsletters.

Questions asked in staff briefings will continue to be captured, and you can also submit questions directly to the Transition PMO team (northcentrallondonics@nhs.net) or through the Ask EMT function on the staff intranet and drop-in sessions.

HR questions including those relating to the staff transfer consultation can be submitted to the HR team via the dedicated email address: nclccg.nclhrtransition@nhs.net

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Integrated Care Systems (ICSs)

What is an Integrated Care System (ICS)?

Integrated care systems (ICSs) are new partnerships between the organisations that meet health and care needs across an area, to coordinate services and to plan in a way that improves population health and reduces inequalities between different groups.

What is an Integrated Care Partnership (ICP)?

An ‘integrated care partnership’ (which is often shortened to ICP) is a formal partnership of organisations (commissioners and providers) working together to improve the health and care of the whole population they serve.

What is a borough health and care partnership? (also known as place-based partnership)

These partnerships are collaborative arrangements formed by the organisations responsible for arranging and delivering health and care services in a locality or community.

Place-based partnerships will remain as the foundations of integrated care systems as they are put on a statutory footing (subject to legislation), building on existing local arrangements and relationships.

Will our partners change as part of this new way of working?

Yes. It is NHS Trusts’ duty to collaborate. This is ongoing work for clinical networks and waiting lists will be shared amongst them. Local authorities are working to look at how teams can develop and align to neighbourhoods.

How will health services differ from social care services in the future, and then what steps will be taken to join them effectively?

A provider collaborative is made up of several organisations coming together to make collective decisions about the design and delivery of health and care services. This collaboration can take place “horizontally” or “vertically”. A horizontal collaborative may take place at ICS level or across several ICSs, between trusts delivering the same type of services such as non-specialist acute care. A vertical collaboration may happen at “place” level – for example between an acute trust and primary or community care. NHSE/I want every trust to be part of at least one or more provider.

How do these new arrangements differ from other various attempts to integrate health and social care?

It removes traditional divisions between hospitals and family doctors, between physical and mental health, and between NHS and council services. In the past, these divisions have meant that too many people experienced disjointed care.

What are the delivery milestones for the ICS?

From 1 July 2022, Integrated Care Systems (ICSs) will become fully operational as statutory organisations responsible for strategic commissioning, with a financial allocation set by NHS England. In North Central London, our ICS will operate in shadow form this financial year.

What processes will be in place to promote financial transparency so people can see how spending will be spent and on what services?

The involvement of local government can enhance transparency and accountability through supporting engagement with local communities and providing local democratic oversight. Progress has sometimes been achieved through workarounds to the current legislative framework; these workarounds can be complex and lead to duplication and protracted decision-making processes.

Proposals have now been put forward to address this, and to improve transparency and accountability, by establishing ICSs as statutory bodies.

According to the Health and Care Bill ICS Boards will be run by NHS managers. Will local authorities which run social care have equal power over commissioning and budgeting with the NHS on these boards?

The involvement of local government is essential for ICSs to be able to drive meaningful improvements in health and wellbeing. It can bring three key benefits. The first is the opportunity to join up health and social care at all levels in the system, creating better outcomes and a less fragmented experience for patients and users. The second is the potential to improve population health and wellbeing through the leadership of public health teams as well as NHS and local government acting together to address wider determinants of health such as housing, local planning and education. Finally, the involvement of local government can enhance transparency and accountability through supporting engagement with local communities and providing local democratic oversight.

Collaborating across the NHS and local government is not easy, and requires local leaders (including NHS leaders as well as officers and elected members in local government) to better understand each other’s challenges, to recognise and respect differences in governance, accountabilities, funding and performance regimes, and to find ways to manage these differences.

NHS North Central London Integrated Care Board (NCL ICB)

What is an Integrated Care Board (ICB)?

The Integrated Care Board (ICB) will be responsible for allocating NHS budget and commissioning services.

Who is the Chair of the ICB? What is their role?

Mike Cooke is Chair Designate and is responsible for leading integration within the local NHS, local authorities and VCSE.

Who is the Chief Executive of the ICB? What is their role?

Frances O’Callaghan is Chief Executive Officer designate. Frances is responsible for setting the strategic direction and deliver improvements for the health and care system in North Central London.

What will the senior management team of the ICB look like?

The NCL ICB Executive Management structure has now been finalised. All roles are delegate until transfer to the new organisation is confirmed.

What will the ‘new CCG’ be called?

The guidance and Health and Care Bill refer to the new NHS body as the ‘Integrated Care Board’.  In NCL, our organisation name will be NHS North Central London Integrated Care Board or NCL ICB.

How much will change once we become an ICB?

The formal date of 1 July 2022 is a staging post. We have seen continued change and development of integrated care at a neighbourhood, borough and NCL level and closer working with partners and this will continue.

In terms of on the first day of the statutory organisation, a consultation with current NCL CCG staff commenced on 27 April that outlines the proposal to transfer all staff to the new organisation.

We have already started to form the Integrated Care Board and there will be a new membership with LA, Trust alongside Primary Care members. New roles, Chief medical officer, Chief Nurse.

As well as the current statutory functions moving to the ICB, there will be some new functions, many of which is system working being put on a statutory footing.

There will be changes over time but not everything will change on 1 July and work will continue through the year after to continue to build new ways of working.

Who will be involved in decision making in this new NHS body? And will patient’s voice be involved?

The Community Partnership Forum will bring together NHS, Healthwatch, local authority, VCSE and community representatives for strategic discussions. This will build on the work of the Engagement Advisory Board, incorporating the public’s voice.

HR transition

The Frequently Asked Questions Document covers the following topics with regard to the staff transfer from NCL CCG to NCL ICB: 

  • Mechanism of Transfer
  • Protection of Terms and Conditions
  • Consultation Process
  • Staff on Secondments, Fixed Term Contracts and Agency Workers
  • Secondments, Fixed Term and Agency Workers
  • Measures with regard to the transfer
  • Management and transfer of staff information from NHS NCL CCG to NHS NCL ICB
  • Support for staff

This document will be updated during the consultation.