1. Integrated Care System (ICS) Berkshire West
Formerly Accountable Care System

2. Berkshire West Integrated Care System (2018)
An Accountable Care System (ACS) is a system in which NHS organisations (both commissioners and providers), often in partnership with local authorities, choose to take on clear collective responsibility for resources and population health.
They provide joined up, better coordinated care.
An Integrated Care System (ICS) is one in which local NHS organisations (both commissioners and providers), often in partnership with local authorities, choose to take on clear collective responsibility for resources and population health, providing joined up, better coordinated care.

3. Berkshire West Integrated Care System (2018)
Berkshire West was recognised by NHS England (NHSE) as an Accountable Care System (ACS) Exemplar area in June 2017 and is now one of 10 Integrated Care Systems (ICS) across England
The ICS is currently comprised of:
Berkshire West Clinical Commissioning Group (CCG)
Royal Berkshire Hospital Foundation Trust - An acute hospital,
Berkshire Healthcare Foundation Trust - A community / mental health Foundation Trust
Providers of GP services in Berkshire West which are configuring themselves into four locality / neighbourhood aligned ‘alliances’

4. Berkshire West Integrated Care System (2018)
Other links:
The ICS also works closely with South Central Ambulance Trust and the three local authorities in West Berkshire, Wokingham and Reading to drive integration between health and social care. 
The people it serves:
The Integrated Care System covers a registered population of approximately 528,000 residents, living in; Reading, West Berkshire and Wokingham.

5. Berkshire West Integrated Care System (2018)
The vision
The main objective of the ICS is to ensure that our population’s experience of healthcare services will continue to improve; that our population continues to benefit from improved health and wellbeing outcomes and that the local NHS is financially sustainable for the future.

6. Berkshire West Integrated Care System (2018)
Specifically this means:
Making faster progress in transforming the way care is delivered
Integrating services & funding, operating as an integrated health system
Managing these and other improvements within a shared financial control total
Demonstrating what can be achieved with strong local leadership and increased freedoms and flexibilities

7. Berkshire West Integrated Care System (2018)
How will the ICS benefit patients?
Better co-ordinated care.
Less variation in care standards.
Future proofing
More people now need care across a number of different settings; hospitals, primary care, clinics, nursing homes and home care agencies – which are often not well co-ordinated.
The result of this for our patients is a system which produces variable quality of care and where patients may experience lapses in care as they move between organisations.
Our aim is that the ICS facilitates more collaborative working between the organisations in Berkshire West, which will ensure our services meet the health and care needs of the local population.

8. Berkshire West Integrated Care System (2018)
How will we know that we have achieved these benefits?
People will be supported to take care of their own health and well-being
Care is being provided closer to home, wherever appropriate
Clinical pathways are better integrated across providers to improve patient experience
The capability and capacity of primary, community and social care is increased to provide multidisciplinary “wrap around” co-ordinated care that efficiently meets the patient’s needs
We have a better understanding the clinical needs of our population and maximise the opportunity to prevent, and to intervene early to reduce the need for more intensive on-going care
People will be supported to take care of their own health and well-being
Care is being provided closer to home, wherever appropriate
Clinical pathways are better integrated across providers to improve patient experience
The capability and capacity of primary, community and social care is increased to provide multidisciplinary “wrap around” co-ordinated care that efficiently meets the patient’s needs
We have a better understanding the clinical needs of our population and maximise the opportunity to prevent, and to intervene early to reduce the need for more intensive on-going care

9. Berkshire West Integrated Care System (2018)
How will we know that we have achieved these benefits? (cont.)
We have a high quality, fit for purpose acute and specialist hospital service
We have a shared Quality Strategy with system wide approach to the delivery and monitoring of quality
We operate to single budget for the whole health care system, making the most effective use of the Berkshire West pound and delivering financial sustainability
Staff and workplace wellbeing is improved, and we build a sustainable and highly skilled health and care workforce in Berkshire West
We have a high quality, fit for purpose acute and specialist hospital service
We have a shared Quality Strategy with system wide approach to the delivery and monitoring of quality
We operate to single budget for the whole health care system, making the most effective use of the Berkshire West pound and delivering financial sustainability
Staff and workplace wellbeing is improved, and we build a sustainable and highly skilled health and care workforce in Berkshire West.

10. Berkshire West Integrated Care System (2018)
Where are we now?
Developing digital strategy and connected care
Piloting musculoskeletal (MSK) programme
Reforming urgent and emergency care (hi-intensity users, redesign)
To come; cancer services, mental health, general practice
urgent and emergency care reform, strengthening general practice and improving mental health and cancer services.