A year on from their establishment as statutory organisations, how are integrated care systems (ICSs) getting on? In this episode, Matthew Taylor puts the question to three system leaders, exploring what's working well, what remains to be solved and the difference system working is making locally – to patients, communities and staff. Recorded at NHS ConfedExpo just ahead of the government’s response to the Hewitt review, the conversation explores the issues of accountability and autonomy and where next for systems.

Hear from Amanda Sullivan, chief executive of Nottingham and Nottinghamshire ICB, Kevin Lavery, chief executive of Lancashire and South Cumbria ICB and Patrick Vernon, interim chair of Birmingham and Solihull ICB.

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