Integrated Personal Commissioning (IPC) Programme

Following an announcement by Simon Stevens in 2014, the Integrated Personal Commissioning (IPC) programme was formally launched in April 2015 as a partnership between NHS England and the Local Government Association.

IPC is a new approach to joining up health, social care and other services at the level of the individual. It enables people, carers and families to blend and control the resources available to them across the system in order to ‘commission’ their own care through personalised care planning and personal budgets. In tandem, IPC also supports people to develop their knowledge, skills and confidence to self-manage through partnerships with the voluntary and community sector (VCSE), community capacity building and peer support.

A video introduction to IPC

Filmed at a residential for IPC demonstrator sites in January 2016, watch this short film to hear about the key elements of IPC and the national programme of support from Sam Bennett, Head of Integrated Personal Commissioning, and James Sanderson, Director of Personalisation and Choice at NHS England.

IPC is one of the key steps towards delivering the NHS Five Year Forward View. It supports the improvement, integration and personalisation of services, building on learning from personal budgets in social care and progress with personal health budgets.

Following a rigorous shortlisting and interview process, nine demonstrator sites were selected to redesign the model of care for people with complex needs in England.

The nine demonstrator sites are:

Each demonstrator site is working with one or more of the following cohorts of individuals, who typically have high levels of need which often span both health and social care:

  • Children and young people with complex needs, including those eligible for education, health and care plans
  • People with multiple long-term conditions, particularly older people with frailty
  • People with learning disabilities with high support needs, including those who are in institutional settings or at risk of being placed in these settings
  • People with significant mental health needs, such as those eligible for the Care Programme Approach (CPA), or those who use high levels of unplanned care.

IPC is networked model of care, delivered through enhanced multi-disciplinary teams which draw together generalist, social, mental and specialist care with the voluntary sector, usually located in general practice. The IPC model is characterised by five key shifts in people’s experience of care, brought about through the adoption of specific service components. Together these components drive improved outcomes for people, the system and the tax payer, delivering better quality of life, reductions in unplanned care and enhanced experience of health and care services.

The Emerging Framework

In May 2016, based on learning from the first year of the programme, the IPC Emerging Framework was published by NHS England and the Local Government Association (LGA).  The framework describes the five key shifts in more detail, as well as the underlying changes needed at service level to make IPC a reality.

Further detail to support the framework is being developed through a collaborative development process, supported by rapid cycle implementation and evaluation. Early products, designed for wider replication and spread, will be available from autumn 2016 onwards.

The five key shifts of IPC