Changes to the Health and Social Care Bill: integrated care

The comparison below sets out the Health and Social Care Bill's initial proposals as regards integration, what has now changed and some key questions that remain unanswered.

The original proposals in the Health and Social Care Bill

What has changed in the proposed reforms?

  • Integration now at the heart of the reforms, in line with the pledge made by the Prime Minister
  • New duties on Monitor, the NHS Commissioning Board and clinical commissioning groups to promote integration of health services.
  • Stronger duties on health and wellbeing boards and clinical commissioning groups to promote integration between health and social care.

What is still unanswered?

  • Will wider changes be made to health policy (eg, the tariff) to support the development of integrated care and will health professionals be able to overcome historic divisions to deliver it?
  • Will the outcomes frameworks for the NHS, public health and social care be revised to reflect the new emphasis on integration?