Decision details

Integrated care systems

Decision status: Recommendations Approved

Is Key decision?: No

Is subject to call in?: No


The Chairman introduced the report on the update of the NHS Long Term and Integrated Care Systems. The report provided an overview of the long-term plan to set out organisational change for the NHS through the development of integrated care systems, based on geographical areas such as Sustainability and Transformation Partnerships (STP). The report also updated the Committee on the way in which health services in North Central London (NCL) STP are responding to the long-term plan and key considerations for Barnet Council.


The Executive Director for Adults and Health explained that the organisational changes would have a significant impact on how local NHS services are configured and the report provided the Committee with the opportunity to think about and input into what adult social care and integrated care should look like in Barnet. The Executive Director for Adults and Health explained that this was a five-borough piece of work at the STP level and all boroughs needed to consider the nature of the partnerships, public accountability and local democracy. Formal submissions and concerns raised by this Committee, Health Overview and Scrutiny and the Health and Wellbeing Board would be feedback to the STP leadership.


The Committee discussed the need for the right type of incentives and shared leadership of roles within the model. The Committee also stressed the requirement for greater public engagement to be implemented into the model.

The Committee agreed that any changes around the system of adult social care in Barnet would be a decision for this committee and that any updates on the matter be brought back to Committee.


 The Committee also requested information be provided on the approach being taken by other neighbouring boroughs. The Executive Director for Adults and Health confirmed that the other four borough Councils operated through a cabinet system of decision making and therefore were working with the cabinet member for adult social care and at various Health and Wellbeing Board and Scrutiny committees.


Following discussion of the item, the Committee requested an update report on the integrated care systems be brought back to a future meeting.


The Chairman then moved to vote on the recommendations as set out in the report.


The Committee unanimously RESOLVED to:

To note and comment on the content of the report.


Publication date: 11/07/2019

Date of decision: 05/06/2019

Decided at meeting: 05/06/2019 - Adults and Safeguarding Committee

Accompanying Documents: