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Gaining productive, efficient and collaborative strategies to optimise system working and service delivery  As system leaders continue to tackle the challenges in balancing financial constraint, workforce wellbeing and productivity, collaborative accountability and overall system performance amid an upcoming change in government, identifying practical solutions that derive tangible long term benefits are imperative for success. The HSJ Integrated Care Summit unites 100+ of the most senior leaders across the wider system annually - from NHSE and ICB chairs and chief execs, to local/national authority and VCSE leadership – there is no shortage of guidance and peer-peer benchmarking to spark new ideas, challenge legacy mindsets and innovate against those pressing challenges.What will be discussed and what has changed in the past year?  Firmly establishing the practical role of integrated care systems in unifying trusts and delivering better healthcare An increased focus on assessing ICBs and their leadership distinct from their providers – overall system performance Yearly policy updates and developments from NHS senior representatives Clearly defining boundaries and responsibilities in ICSs to foster accountability and trust in systems Exemplifying leadership and fostering collaboration between the different healthcare services and help them work together to deliver on local priorities Delivering the promise of digital integration and support of population health management tools and a firm foothold on wider determinants of health, with the aim of prevention A clear assessment of ICB’s performance and intention to transform primary care  With an imminent election, there will be debates how we keep our population healthy, how health and care services can best meet people’s needs and how to develop a sustainable social care system will need to be addressed  Tackling health inequalities within ICSs and the tension between Place and System Holistic care and how to link physical health services with mental health and social care services and more!

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