The NHS five year forward view, published by NHS England and other NHS bodies, sets out a shared view on how services need to change and what models of care will be required in the future. Its key arguments are that much more attention should be given to prevention and public health; patients should have far greater control of their care; and barriers in how care is provided should be broken down. This means putting in place new models of care in which care is much more integrated than at present.
Similarities exist between the proposed care models and the development of integrated systems in the United States. Here, we outline two of the models proposed by NHS England and discuss how experience from the United States may help inform how they are implemented.