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The Health and Care Act 2022 put these systems on a statutory basis, each with an approved constitution. On 1 July 2022, a total of 42 ICSs became statutory. There are more than 70 performance metrics by which they are judged, grouped into six "oversight themes": quality, access and outcomes, preventing ill health and reducing inequalities, leadership, people, and finances.
Whittington Hospital is a district general and teaching hospital of UCL Medical School and Middlesex University School of Health and Social Sciences. Located in Upper Holloway, it is managed by Whittington Health NHS Trust, operating as Whittington Health, an integrated care organisation providing hospital and community health services in the north London boroughs of Islington and Haringey.
Health Services Laboratories (HSL) is an independent provider of pathology and diagnostic services to the NHS. Formed in 2015, it is a partnership between The Doctors Laboratory , University College London Hospitals NHS Foundation Trust and the Royal Free London NHS Foundation Trust .
The trust has access to patients' GP records in the Urgent Care Centre run by Haverstock Healthcare in its A&E department using the EMIS Web integrated clinical IT system. This enables the majority of patients to be sent home with written information on self care or referred to a pharmacy. [20]
Imperial College Healthcare was formed on 1 October 2007 by the merger of Hammersmith Hospitals NHS Trust and St Mary's NHS Trust with Imperial College London Faculty of Medicine. [4] In July 2008, Imperial College Healthcare announced that it would be launching a pilot scheme to reward medical teams with bonuses for successful operations.
In September 2009 Community Services Wandsworth took over the running of health services at HMP Wandsworth after Secure Healthcare, who previously provided health services there, went into voluntary liquidation and ceased to trade. Community Services Wandsworth integrated with St George's Healthcare NHS Trust on 1 October 2010.
There have been five pilots across London since December 2015 to test how greater collaboration, integration and devolution will work in practice. Plans are to focus on childhood obesity, mental ill-health and health inequalities. [21] The London Health and Care Strategic Partnership Board met in shadow form for the first time in May 2017. [22]
Integrated care may be seen as a response to the fragmented delivery of health and social services being an acknowledged problem in many health systems. [1] [2] [3] This model of care is working towards moving away from a siloed and referral-based format of care to a team-based model.