Breadcrumb Home Publications Integrated care must start with a new single national framework This content relates to the following topics: Commissioning and contracting Integrated care Share this content Share on Twitter Share on Facebook Share on LinkedIn Share on Email Print this page Former NHS England boss David Nicholson famously described Andrew Lansley’s NHS shake-up as 'so big you could probably see it from space'.Five years on the consequences are much more down to earth, with an organisational landscape so complex that, rather like the peace of God, it passeth all understanding.The imperative to integrate care around the needs of an ageing population with a mixture of conditions and needs that defy service boundaries has never been greater.Yet, responsibilities for commissioning different pieces of the jigsaw has never been more fragmented and are now scattered across nearly 400 separate organisations.Read the full article Related publicationsReportOptions for integrated commissioning Beyond BarkerWith support for health and social care to have a single ring-fenced budget and a single local commissioner growing, this report looks at the options available for integrated commissioning. Comments Add your comment Your name Email (your email will not be made public) Your job/role Organisation Comment Post comment You may also be interested in Paid event The King's Fund Annual Conference 2017 Blog Is strategic commissioning the future for the NHS? Clinical commissioning is changing in response to financial and operational pressures, and the implementation of new care models. Chris Ham considers whether strategic commissioning is the way forward. Video Victor Adebowale: Commissioning person-centred care for vulnerable groups Victor Adebowale, Chief Executive of Turning Point, discusses the important role of pharmacy in working towards developing integrated community-based care for vulnerable people. Report Place-based systems of care: A way forward for the NHS in England Our report looks at how NHS organisations can move towards place-based systems of care, in which NHS organisations and services work together to address the challenges they collectively face. The report suggests 10 principles to guide the development of such systems.