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Reconsidering accountability in an age of integrated care

Nuffield Trust Viewpoint papers provide a platform for UK and international health leaders to explore, discuss and debate critical health care reform issues.

This Viewpoint, from Ben Jupp, who has worked on public service strategy across a number of services, comes at a critical time for the NHS and social care system, with the Conservative Government taking forward a number of manifesto commitments to reform care services.

It focuses on an issue that has received little examination in recent times: the implications for the accountability of local care services that arise from the new integrated models of care that are being developed following NHS England’s Five Year Forward View. The paper is preceded by a foreword from Andy McKeon, Senior Policy Fellow at the Nuffield Trust, and followed by a set of expert responses from others working in health policy.

The paper has been informed by conversations between Ben Jupp and health and social care policy-makers, practitioners and academics; an expert seminar at which the ideas outlined in the paper were tested and developed further; and the author’s own experience of engaging with other sectors, such as education, where similar accountability questions have been raised.