Introduction: sharing risks and benefits of integrated care

This guide provides practical guidance to support the development and management of risk and benefit share arrangements in the context of delivering joined-up, integrated care.

This guide has been updated to reflect the maturing thinking on the development and management of risk and benefits sharing to support the delivery of joined-up, integrated care. The guide provides advice on how to develop a risk and benefits share, and covers the specific risk and benefits shares associated with improving out-of-hospital services and reducing non-elective admissions and delayed transfers of care. It emphasises the importance of creating a risk and benefits share within a system-wide approach to enable whole-system and integrated working.

This guide:

• 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.