Cambridgeshire and Peterborough Integrated Care System

Cambridgeshire and Peterborough Integrated Care System
Name	Cambridgeshire and Peterborough Integrated Care System
Region	Cambridgeshire and Peterborough
Country	England
Formed	2022
Type	Integrated care system
Hospitals	Addenbrooke's Hospital; Peterborough City Hospital; Hinchingbrooke Hospital
Primary care	Local general practices; Primary care networks
Chair	Integrated care board chair
Chief executive	Integrated care board chief executive

Cambridgeshire and Peterborough Integrated Care System is an NHS integrated care system covering the ceremonial county of Cambridgeshire and the unitary authority of City of Peterborough. It brings together local National Health Service trusts, clinical commissioning groups successor bodies, local authorities and third‑sector partners to plan health and care services across urban centres such as Cambridge and Peterborough and rural districts including Fenland District and East Cambridgeshire. The ICS coordinates hospital, community, primary and social care pathways with links to regional bodies such as NHS England and advisory relationships with universities and research institutes including University of Cambridge and Anglia Ruskin University.

History and formation

The ICS emerged from national reforms following the NHS Long Term Plan and statutory changes under the Health and Care Act 2022, building on predecessor arrangements led by clinical commissioning groups including the former Cambridgeshire and Peterborough CCG. Local history includes reconfigurations involving trusts such as Cambridge University Hospitals NHS Foundation Trust, North West Anglia NHS Foundation Trust, and collaborative initiatives with local authorities like Cambridgeshire County Council and Peterborough City Council. Earlier health partnerships referenced systems-level programmes such as the Sustainability and transformation plans and pilot work aligned with pathways used in neighbouring ICS regions including Norfolk and Waveney Integrated Care System.

Governance and organisational structure

The ICS comprises an integrated care board (ICB) and an integrated care partnership (ICP). The ICB is accountable to NHS England and works alongside statutory partners including Peterborough City Council, Cambridgeshire County Council, and NHS provider trusts such as Cambridge University Hospitals NHS Foundation Trust, North West Anglia NHS Foundation Trust, and Cambridge Community Services NHS Trust. Membership brings together directors drawn from clinical leads linked to primary care networks that include GP federations and practices registered with organisations like the British Medical Association. Governance arrangements reflect regulatory interfaces with bodies such as the Care Quality Commission and oversight interactions with regional NHS structures including the East of England NHS Regional Team.

Services and care delivery

Service delivery spans acute hospital care at institutions like Addenbrooke's Hospital and Peterborough City Hospital, mental health services provided by trusts such as Cambridgeshire and Peterborough NHS Foundation Trust, community nursing via Cambridgeshire Community Services NHS Trust, and primary care through local general practices and primary care networks. The ICS coordinates specialist services with tertiary partners including Royal Papworth Hospital and academic collaboration with University of Cambridge School of Clinical Medicine. Community and voluntary sector partners such as Age UK and Mind contribute to integrated pathways for older people, mental health, and long‑term conditions management drawing on models similar to those used in Integrated care pilots elsewhere.

Partnerships and commissioning

Commissioning and strategic planning are undertaken through the ICB in partnership with the ICP, local authorities, NHS trusts, and independent sector providers including private hospitals operating in the region. Joint commissioning arrangements involve public health teams from Cambridgeshire County Council and Peterborough City Council and collaborate with social care providers, housing associations such as Cross Keys Homes, and transport stakeholders including Stagecoach East for patient access. Research partnerships extend to institutions like Wellcome Trust collaborators and clinical trial networks affiliated with Clinical Research Network: Eastern.

Performance and accountability

Performance is monitored against national standards set by NHS England and inspection frameworks administered by the Care Quality Commission. Key performance metrics include emergency department waits at Addenbrooke's Hospital and Peterborough City Hospital, elective waiting lists, cancer pathways aligned to standards from NHS Cancer Programme, and mental health waiting times overseen by national programmes. The ICS publishes reports for stakeholders including councils and parliamentary representatives such as the MPs for Cambridge (UK Parliament constituency) and Peterborough (UK Parliament constituency), and responds to parliamentary scrutiny and sector audits similar to those conducted by the National Audit Office.

Finance and resources

Funding is allocated via capitated budgets and national allocations mediated by NHS England and managed by the ICB, with provider income streams to trusts like Cambridge University Hospitals NHS Foundation Trust and North West Anglia NHS Foundation Trust. Financial stewardship must reconcile efficiencies sought through collaborative commissioning, capital investment for estates including hospital redevelopment projects at sites such as Addenbrooke's Hospital and workforce planning linked to training partners like NHS England Academy and local universities. Resource pressures reflect demographic trends in districts such as Huntingdonshire and South Cambridgeshire, requiring strategic use of elective recovery funds, transformation capital, and shared commissioning with local authorities.

Category:Healthcare in Cambridgeshire Category:Integrated care systems in England