The goals of:

• improving population health,
• improving the quality and experience of care,
• reducing cost and improving value,
• creating rewarding work for staff and,
• reducing inequalities

are central goals of most health systems in England and around the world.

Developing relational, neighbourhood-based approaches to delivery – with strong ties to the full range of physical and mental health services, local authority and wider public services, and support from the voluntary and community sector, creates the best possible environment in London for these aims to be achieved.

This will require new ways of working for a wide range of professionals, both including and extending beyond the traditional primary care team. And there will be implications for operating models, success measurement, contracting and funding flows, which will require commissioners and provider leaders to develop new ways of working in partnership within the statutory sector and also with the wider VCFSE and independent sector. Alongside this case for change we will present a proposed Target Operating Model which sets out the expectations at INT, place, ICS and national level.

It is also important to note that, notwithstanding the new ways of working required for INTs to succeed, many if not most interactions between health and care professionals and service users will, entirely appropriately, remain as now, as a contact with a single professional. They will need to do this in an environment that supports them to be effective and which can quickly mobilise other services where they need them.