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Reinventing FTs and creating IHOs: autonomy, accountability and flexibility

Integrated health organisations

The plan proposes that the highest-performing new FTs may become IHOs. These organisations would: 

  • Hold the whole health budget for a local population;
  • Be authorised through a rigorous process;
  • Be overseen by NHS regions in a proportionate, rules-based manner;
  • Be expected to support integration, shift care to the community, improve population health, and tackle inequalities; 
  • Have freedom to contract with other providers, including non-NHS organisations.