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 Video Don Berwick on payment reform: How can we do things differently? Ben Collins talks with Professor Don Berwick, International Visiting Fellow at The King's Fund, about the current system of financial incentive schemes in the UK and how these could be reformed. Article The false promise of the self-improving health system There is an urgent need to reform the system for paying and contracting for services in the NHS but new complex financial incentive schemes are not the answer, writes Ben Collins for HSJ. Report Payments and contracting for integrated care: The false promise of the self-improving health system Why should the new payment systems being developed to support integrated care be any more successful than previous ones? This new report calls for urgent reform of the system for paying and contracting services in the NHS. Completed project Payment systems for accountable care in the NHS A project to clarify the choices commissioners face in relation to payment systems for integrated care.