Against the backdrop of the latest step in joining up health and care systems, an HSJ and IMPOWER roundtable discussed what ICSs can do to deliver the best outcomes for their populations

Read the detailed report of the roundtable here

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The deadline for all areas of the country to be part of an integrated care system has passed, and it has been met. But it is clear that in many areas integration and increased collaboration between all parts of a local health and care economy remains a challenging proposition – and will do so even after planned statutory status is granted to ICSs.

In late March, HSJ brought together a small panel of experts to discuss the integration agenda. At an event run in association with IMPOWER, they considered how integrated care systems might deliver the best possible outcomes for local populations – and, notably, how such outcomes can be defined.


  • Sharon Brennan, senior correspondent, HSJ (roundtable chair)
  • Shelley Brough, head of integrated commissioning, Cheshire East Council
  • Katy Calvin-Thomas, chief executive, Manchester Local Care Organisation
  • Ruthe Isden, head of health influencing, Age UK
  • Neil Tester, director, The Richmond Group of Charities
  • James Swaffield, head of health, IMPOWER
  • Rob Walsh, chief executive, North East Lincolnshire Council and North East Lincolnshire CCG