Governance and accountability in new care models

The King's Fund, London W1G 0AN
Event type: 


About this event

The current focus on new care models, and place-based systems of care, requires organisations to work together to deliver services. How well these organisations are led, directed and held to account will be of crucial success.

This one-day conference will help those who are considering how governance and accountability will work in these new, place-based systems.

What you'll learn

Sessions and speakers will help you to understand:

  • how boards of directors can exercise control over services for which they are accountable, but do not necessarily deliver directly through their own organisation
  • the governance and accountability arrangements that are currently being developed in the vanguard sites
  • the difference between the types of contractual models available, including alliance contracts, the multi-specialty community provider contract, and accountable joint ventures
  • the various payment models that can support collaboration between organisations.

Who should attend

  • NHS acute, ambulance, community and mental health trust board members and non-executive directors.
  • Clinical commissioning group board members.
  • Health and wellbeing board members.
  • local council board members, directors of adult social care, and directors of public health.
  • Health and social care regulators.


9.00am: Registration opens

Session one: Developing new models of governance

10.00am: Welcome and introduction

Ben Collins, Project Director, The King's Fund

10.10am: Investing in good governance

Saffron Cordery, Director of Policy and Strategy, NHS Providers

10.30am: Governance arrangements in new care models: the legal viewpoint

  • Hear about the legal challenges of governance and accountability in partnerships between organisations.
  • Find out about some of the different models of governance such as accountable care organisations (ACOs), alliance contracts, and accountable joint ventures and how they can be used in local health and social care systems.

Robert Breedon, Partner, Head of Health and Care Sector, Gowling WLG

10.50am: Questions and discussion

11.10am: Refreshment break, exhibition and networking

Session two: New payment systems and regulation arrangements

11.40am: Welcome back

Ben Collins, Project Director, The King's Fund

11.45am: National development and regulation of new governance arrangements

  • Find out about the work being done by NHS England and NHS Improvement to support the implementation of contracts for new care models.

Ed Waller, Head of Multi-specialty Community Provider Contract Development and Intensive Support, NHS England

12.05pm: Case study: New payment systems in the Mid Nottinghamshire Better Together (PACs) vanguard

  • How commissioners have developed a single outcomes framework to measure improvements in the wellbeing of the population.
  • Moving towards an outcomes-based capitated budget for the population.
  • How commissioners are aligning contracts with the single outcomes framework, working with providers to agree a baseline of performance and trajectories for improvement, so that they can establish financial incentives linked to the outcome measures.
  • Encourage innovation in how providers deliver services, by focussing on improving outcomes rather than inputs or processes.

Amanda Sullivan, Chief Operating Officer, Mid Nottinghamshire Better Together

12.25pm: Questions and discussion

12.45pm: Buffet lunch and networking

Session three: Emerging governance models in the vanguards

In this session delegates will split into two streams. Each stream will feature vanguard sites who will give updates on:

  • why they decided on their chosen model of governance
  • the local context and other factors contributing to their choices
  • the key issues and successes in implementing their model so far.

Stream A: Focus on primary and acute care systems

1.45pm: Welcome back

1.50pm: Developing an accountable care organisation in Northumberland

  • How commissioners in Northumberland have made changes to budgets and incentives for providers to be able to operate an accountable care organisation.
  • How Northumbria Healthcare NHS Foundation Trust are planning to hold budget on behalf of the accountable care organisation partnership, which will deliver acute, community and social services.

Julie Ross, Chief Operating Officer, NHS Northumberland Clinical Commissioning Group
Birju Bartoli, Deputy Chief Executive, Northumbria Healthcare NHS Foundation Trust

2.30pm: Questions and discussion

Stream B: Focus on multi-specialty community providers

1.45pm: Welcome back

1.50pm: Delivering a whole population budget via a single provider

  • How commissioners in Dudley are procuring for a new single provider to hold a whole population budget.
  • How a single budget and provider can deliver and sub-contract for primary and community services to improve access, continuity of care and co-ordination.

Paul Maubach, Chief Accountable Officer, NHS Dudley Clinical Commissioning Group

2.10pm: Working in partnership to create a community-based health and care system

  • How Modality Parnership have established a joint board with Birmingham Community Healthcare NHS Foundation Trust and Birmingham and Solihull Mental Health NHS Foundation Trust to oversee the creation of a new community-based health and care system, with primary care providing a single point of access.
  • Plans for a GP superpartnership to act as lead provider or part of joint venture company with other providers.

Naresh Rati, Chief Executive, NHS Sandwell and NHS West Birmingham Clinical Commissioning Group

2.30pm: Questions and discussion

3.00pm: Refreshment break, exhibition and networking

Session four: Developing local systems of governance and accountability

3.20pm: Welcome back

Ben Collins, Project Director,The King’s Fund

3.25pm: Panel session: What needs to happen at sustainability and transformation plan (STP) level to enable local systems of governance and accountability?

  • What happens if an STP footprint develops plans that require an individual provider to sacrifice its individual interests for the greater good of the local system as a whole – how is that reconciled to the provider Board’s, its NEDs’ and its Governors’ statutory duties?
  • What happens if some parts of an STP agree to a plan but others don’t?
  • How far and when is it reasonable for the interests of an individual provider to be trumped by the needs of a wider local system?
  • How much and what delivery will be put through STP area footprints?
  • How will accountability actually work if money and delivery is allocated, managed or measured at the level of a local system rather than an individual institution?

Saffron Cordery, Director of Policy and Strategy, NHS Providers

Further panellists to be confirmed.

3.55pm: Closing comments

4.00pm: Close of conference


Registration information


Please note, there is a £20 surcharge to cover the cost of processing invoices. This is an addition to the ticket price and will be added to your invoice. There is no charge for paying by debit or credit card.

Please email us if you have any queries, or call 0207 307 2409.


Group discounts

The following discounts are available for group bookings, when all members are attending from the same organisation. Please note all places must be booked at the same time to receive the discount, and you must email us for your promotional code, as the discount will not be automatically applied to your booking.

10% off for 3-4 people
15% off for 5-6 people
20% off for 7 or more people

Student rates

We offer a limited number of discounted places for students who are in full-time education. To request a promotional code, please email us.


We offer a limited number of bursary (free) places on our conferences for patients and carers. To apply for a bursary for this event please email us.


Sponsor or exhibit

  • Network with health and care leaders
  • Build relationships with your key target audience
  • Align yourself with innovative thinking.

For more information, email Michael Spencer or call 020 7307 2482.

Host your own workshop

Organise a session and establish yourself as a thought leader, tell your story and disseminate your key messaging. Regularly attended by 50 per cent of delegates, this is our most popular package.


Book an exhibition stand to network and engage with delegates. Receive a free delegate place and use promotional opportunities on the conference webpage and app to make the most of this cost-effective package.

Branding opportunities

If you can’t get to the congress then sponsoring the lanyards or twitter wall are great ways to raise your brand awareness.

Request a copy of our brochure or call 020 7307 2482.


Care Quality Commission

Care quality commission