I see a lot of commentary about the @NHSEngland paper on the future of integrated systems. Here is a perspective based on what is happening NOW rather than on some conceptual future - a hugely exciting agenda and one that is right in front of you @WYHpartnership

The paper recognises the role of LAs and the #NHS on the BROADER DETERMINANTS of health, including the economy, the environment, housing. Between @LeedsCityRegion @WYHpartnership we have made substantial progress on aligning health, housing, economy e.g.
https://www.wyhpartnership.co.uk/application/files/3316/0338/0024/Housing_for_Health_Report_October_2020_2.pdf

Tackling HEALTH INEQUALITIES is a role of ICS' and @WYHpartnership has a focused programme on this which builds on public health leadership of @Sarah5656 @robintuddenham @DrJamesThomas1 and our recent commission on #BAME populations is an ambitious example https://www.wyhpartnership.co.uk/publications/tackling-health-inequalities-for-bame-communities-and-colleagues

@WYHpartnership is a partnership that is a servant of the partners. It has 6 strong PLACES, with good and effective health & wellbeing boards that own the system plans and the place based plans. They oversee delivery. An example here from #Leeds http://inspiringchangeleeds.org/  #BestCity

Formal PROVIDER ALLIANCES across @WYHpartnership exist for the acute sector through @WYAAT_Hospitals who actively pursue quality improvement and collaborate to drive change. It is far from "cosy" and real change happens. See the annual report here: https://wyaat.wyhpartnership.co.uk/application/files/6416/0525/9691/WYAAT_Summary_Annual_Report_201920.pdf

Formal PROVIDER ALLIANCES for mental health @WYHpartnership, including for specialised services such as award winning eating disorder services. They've delivered new services #covid19 on #learningdisability #SuicidePrevention #Bereavement @munro_sara
https://www.wyhpartnership.co.uk/our-priorities/mental-health/mental-health/adult-secure-lead-provider-collaborative

Formal PROVIDER ALLIANCES in places @WYHpartnership , such as the Wakefield Mental Health all sector Alliance. hosted by @allofusinmind with @NHSWakefieldCCG staff and all resources given to the alliance to deliver priorities. Leeds @LCHNHSTrust @LeedsGp have joint senior roles.

The THIRD SECTOR is an equal partner with a significant role at all levels of @WYHpartnership, leading programmes and at the forefront of delivery. The sector receives financial support and has been the subject of two resilience reports during #covid19 https://www.wyhpartnership.co.uk/our-priorities/harnessing-power-communities

We know the POWER OF PEOPLE AND COMMUNITIES, which has been proven @WYHPartnership #Covid19 and has always been a feature, with award winning work on supporting 260,000 #Carers, #personalisedcare and looking out for #OurNeighbours https://ourneighbours.org.uk/ 
@shutcake @burns1_karen

We also know PEOPLE HAVE A VOICE, with engagement a fundamental part of how we work, with lay people & local @HealthwatchE on the governance of @WYHpartnership and effective strategies, including with @BTMOrg for people with #learningdisability https://www.wyhpartnership.co.uk/application/files/8715/9619/1148/Coronavirus_engagement_report_August_2020.PDF

Our WORKFORCE is our biggest asset @WYHpartnership and we have worked together on #wellbeing, #recruitment, #skills, #apprenticeships on a dedicated strategy, ambitious plans that support working carers, tackle racism and boost the economy @Brendanbrown20 https://www.wyhpartnership.co.uk/our-priorities/coronavirus-covid-19-information-and-resources/new-workforce-health-and-wellbeing

Our FINANCES are governed by all Directors of Finance group, with single control total delivered in 2019/20, plans for 2020/21 agreed by al Boards, aligned incentive contracts for all @WYAAT_Hospitals, joint #capital prioritisation and planning @WYHpartnership, shared risk

Our DIGITAL @WYHDigital @WYHpartnership work is supported by the Local Health and Care Record Exemplar @YHCareRecord, partners @YHAHSN and we are addressing digital exclusion with support from @wearemHabitat https://yhcr.org/ 

We are CLINICALLY LED @WYHpartnership clinical forum supporting change eg @WYHHealthyHeart & Ethical Decision Framework, @profseanduffy #CancerAlliance #Cancer, fantastic primary care networks, CCG governing bodies and new stroke and respiratory networks …https://www.westyorkshireandharrogatehealthyhearts.co.uk/ 

Our GOVERNANCE AND ACCOUTABILITY is clear with meetings in public, live streamed, formal agreements on partnership, committees in common and joint committees, overseen by representative groups and papers published on our site. We also have peer review.
https://www.wyhpartnership.co.uk/meetings 

It's all MAKING A BIG DIFFERENCE through our @WYHPartnership driven by collaboration, ambition and improved services in tough times. We have a distributed leadership that works together. https://www.wyhpartnership.co.uk/our-priorities/difference-our-partnership-making

This genuinely is an EVOLUTION. Systems elsewhere across the country are doing similar work and making big progress too. The REVOLUTIONARY thing is systems thinking. ICS' are systems. They operate at individual, street, neighbourhood, place levels.

There are RISKS as well as opportunities. But for now, place based working, collaborating on the mental, physical and social needs of people is the answer. @NHSEngland @NHSConfed @NHSProviders @TheKingsFund @NuffieldTrust @HealthFdn @DavidsonRoger @ProfDonnaHall @profchrisham