GGI's contribution to the Hewitt Review

On 17 November 2022, the Chancellor, Jeremy Hunt, announced a review of integrated care systems (ICSs) to be undertaken by Patricia Hewitt, former Secretary of State for Health and current chair of Norfolk and Waveney Integrated Care Board.

The review considers how the oversight and governance of ICSs can best enable them to succeed. It covers ICSs in England and the NHS targets and priorities for which integrated care boards (ICBs) are accountable, including those set out in the government’s mandate to NHS England.

The review has been designed to consider and make recommendations on:

• how to empower local leaders to focus on improving outcomes for their populations, giving them greater control while making them more accountable for performance and spending
• the scope and options for a significantly smaller number of national targets for which NHS ICBs should be both held accountable for and supported to improve by NHS England and other national bodies, alongside local priorities reflecting the particular needs of communities
• how the role of the Care Quality Commission (CQC) can be enhanced in system oversight.

GGI has provided evidence for the review, captured in a paper written by principal consultant Simon Hall.