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Integrated commissioning

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Integrated commissioning is where commissioners pool budgets across traditional boundaries, such as ‘health’ and ‘social care’.

The intention of this is to reduce duplication in service provision, where, typically, different bits of local government fund or commission similar things.


  • In the Greater Manchester Combined Authority, funding has been pooled across 10 local authority areas, and a new regional mayor has been created. Greater Manchester is a ‘devolution’ area, which means that several central government budgets have also been devolved to be managed at a regional level, in addition to the pooling of existing local budgets. The devolved health and social care budget alone is £6bn.
  • In Hackney and the City of London an integrated commissioning board has been set up, bringing together commissioners from adult social care, public health and the clinical commissioning group. They are working towards combining budgets for an initial raft of services including unplanned care, planned care and prevention.

Integrated commissioning systems are often aligned with NHS sustainability and transformation partnerships (STPs). The NHS and local councils have formed partnerships in 44 areas covering all of England, to improve health and care. Each area has developed proposals built around the needs of the whole population in the area, not just those of individual organisations.

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Page last edited Oct 25, 2018

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