The pioneers represent a diverse cross section of local health and care economies across different populations and geographies. The programme is able to use this diversity by creating communities which allow sites to share ideas and learning.

The pioneer learning community is a group of enthused and ambitious areas focused on driving tangible health and care improvements at local level.

The 25 integrated care pioneers are acting as exemplars to address local barriers to delivering integrated care and support locally, and highlight national barriers that the national partners can work to address. They support the rapid dissemination, promotion and uptake of lessons across the country and receive support to breaking down these barriers from the national partners.

Pioneer Communities include:

• International care models communities
• NWL, Leeds, GM, three cities learning collaborative
• Pioneer support group
• Informatics and information sharing
• Payment and pricing