A new operating model for health and care
Functions to deliver these objectives
These objectives are delivered through three core functions, which are iterative and interactive in nature.
Strategy
National and regional teams play a role here by setting the overall strategy, direction and outcomes that the system must deliver. ICBs, as strategic commissioners, also play a role in strategy by allocating resources and contracting for services, using a range of payment mechanisms and incentives to deliver their four purposes.
Delivery
Providers are primarily responsible for delivery of care at place and neighbourhood level and will work closely with ICBs as strategic commissioners to transform care pathways.
Oversight and improvement
National and regional teams are primarily responsible for overseeing the system based on quality, finance and operational performance and will support organisations and systems to drive improvement within organisations and systems. Organisations will, however, have responsibility for first-line oversight through their boards. As strategic commissioners, ICBs will have some contractual oversight. All organisations will play a role in driving improvement.