Integrated Care System Assessments: March 2025 Update

The Care Quality Commission (CQC) has provided an update on the status of Integrated Care System (ICS) assessments, following changes in government policy and broader healthcare reforms. Under the Health and Care Act 2022, CQC was granted new responsibilities to evaluate whether ICSs are effectively meeting the needs of their local populations. However, recent developments have led to a pause in this work for at least six months.

Background and Initial Progress

In 2023, the CQC conducted pilot assessments of ICSs to refine its methodology. However, the work was temporarily paused in early 2024 to further develop the approach. This pause was extended due to the General Election in July 2024 and the Dash review in October 2024, which recommended maintaining the delay.

Government Changes and Further Delays

Recent government reforms have further impacted ICS assessments. With the announcement that NHS England will be brought back under the Department of Health and Social Care (DHSC) and planned reductions to Integrated Care Boards (ICBs), DHSC has withdrawn its request for a proposal from CQC on the future of ICS assessment activity. As a result, this work will remain on hold for at least six months.

During this period, CQC will focus on its four strategic priorities and five foundational improvements. While formal ICS assessments are paused, CQC will continue to work closely with DHSC and review its plans in alignment with broader government reforms, including the 10-year health plan.

Ongoing Commitment to System-Wide Improvement

Despite the pause, evaluating how healthcare systems work together remains a priority for CQC. The organisation will continue to use its independent voice to highlight challenges and best practices in integrated care.

Additionally, CQC has collaborated with key stakeholders to develop a self-assessment and improvement framework for ICSs. This framework aims to help systems address health inequalities and enhance the effectiveness of local healthcare collaboration.

Looking Ahead

The evolving landscape of health and social care presents both challenges and opportunities for ICSs. As government policies shift, CQC remains committed to ensuring that integrated care continues to support the needs of local populations. Further updates on ICS assessments will be provided as the situation develops.