Sharing risks and benefits of integrated care
Published: August 2019
This guide should be used as supplementary information to the 2017–19 Integration and Better Care Fund Policy Framework and Planning Requirements.
It provides practical guidance that can be applied immediately.
- covers risk sharing and benefits sharing at a system level
- focuses on governance, relationships, high-level frameworks and different approaches
- provides examples and suggestions from good practice sites across England
- does not cover guidance and examples around contractual and legal agreements on which advice should be taken by local areas.
Karen Ashton, Assistant Director Integrated Commissioning, Hampshire CC explains how integrating care has risks but it is a co-evolving partnership where everyone benefits.
Introduction to sharing risks and benefits of integrated care
What is risk and benefits sharing of integrated care?
Creating and embedding risk and benefits sharing of integrated care
Key challenges of shared risk and benefits of integrated care
Managing over and underspend when sharing risks and benefits of integrated care
Tools and resources for risk and benefits sharing of integrated care.
Tools and resources Open
- Support materials on risk sharing - Better Care Support Team, NHS England. This includes some additional background and suggestions for what to cover in the risk sharing elements of the Section 75 template. As part of the wider support package, Bevan Brittan has also prepared a template S.75 agreement with an explanatory note
- 2019–20 Better Care Fund: Policy Framework – Department of Health and Social Care and the Ministry of Housing, Communities and Local Government
- Torbay ICO – Risk share agreement example
- Local payment example: multilateral gain/ loss sharing – Monitor and NHS England
- On targets: How targets can be most effective in the English NHS – Health Foundation
- Local CQUIN Menu 2017-19 – NHS England
- Need to nurture: Outcomes-based commissioning in the NHS – Health Foundation
- Accountable care around the world: a framework to guide reform strategies – in Health Affairs, vol 33, no 9, p 1507 (McClellan M. et al. 2014)
We would like to thank the following individuals for their contribution to this publication.
Edition 2 (August 2019)
- Natasha Larkin, People & Development Lead, PPL
- Lisa Larsen, Associate Director, PPL
- Joe Nguyen, Associate Director, PPL
- Carmen Colomina, Practice Development Manager, SCIE
- Shirish Gandhi, Publishing Manager, SCIE
- Iris Steen, Head of Communications, SCIE
Edition 1 (May 2015)
- Carmen Colomina, Practice Development Manager, Social Care Institute for Excellence
- Bruno Desormiere, Pricing Development Manager, Monitor
- Adiba Enwonwu, Local System Delivery and Support Lead, Better Care Support Team
- Jess Heath, Assistant Manager, KPMG
- Mark Hill, Policy Officer, ADASS
- Luke McCartney, Senior Support, Better Care Support Team
- Scott Maslin, Director, KPMG
- Oliver Mills, Care and Health Improvement Adviser, ADASS
- Rosie Seymour, Deputy Programme Director, Better Care Support Team
- John Sheedy, Pricing and Payment Design Manager, New Care Models, NHS England