I am all in favour of an ACO but primary care need to be involved in decision making at every stage.
Having read the Kings Fund article, I must protest about the continuing moves to replicate the failed American healthcare system in the UK.
We already have a system that works when funded and managed properly. Please don’t imagine we are duped into believing it’s failing due to anything other than the ideology of the present government.
No mention of the role of insurance companies or privatisation is made in your article but there are plenty of clues about the agenda. None of this requires anything other than a properly funded and well managed NHS - which is what we already have (or had) - except of course for the fact that selling more of it off provides greater profits for those who are already failing to deliver.
The language of your article says it all:
"First, they involve a provider or, more usually, an alliance of providers that collaborate to meet the needs of a defined population. Second, these providers take responsibility for a budget allocated by a commissioner or alliance of commissioners to deliver a range of services to that population. And third, ACOs work under a contract that specifies the outcomes and other objectives they are required to achieve within the given budget, often extending over a number of years.”
"Kaiser Permanente” - not a good example
"experience from health systems in the United States”
"United States” "United States” “United States"
"The relational challenges centre on the need to develop trust between the organisations and leaders involved as well as an ability to collaborate in a legal context that was designed to promote competition. “
We don’t need competition, further tiers of management, profit extracting companies with highly paid executives and shareholders, and we don’t need more acronyms.
Fund the NHS properly and stop abrogating responsibility.