Hewitt review: terms of reference
Published 6 December 2022
Applies to England
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Objectives and scope
The review will consider how the oversight and governance of integrated care systems (ICSs) can best enable them to succeed, balancing greater autonomy and robust accountability with a particular focus on real time data shared digitally with the Department of Health and Social Care, and on the availability and use of data across the health and care system for transparency and improvement. It will cover ICSs in England and the NHS targets and priorities for which integrated care boards (ICBs) are accountable, including those set out in the government’s mandate to NHS England.
In particular it will consider and make recommendations on:
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how to empower local leaders to focus on improving outcomes for their populations, giving them greater control while making them more accountable for performance and spending
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the scope and options for a significantly smaller number of national targets for which NHS ICBs should be both held accountable for and supported to improve by NHS England and other national bodies, alongside local priorities reflecting the particular needs of communities
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how the role of the Care Quality Commission (CQC) can be enhanced in system oversight
Engagement
The review will draw upon the expertise of ICSs, local government, the NHS, the voluntary sector, patient and service user representatives and other subject experts including in academia, government departments and relevant thinktanks.
Governance and timing
The review will be led by Rt Hon Patricia Hewitt and will be independent of government.
Secretariat support will be provided by the Department of Health and Social Care.
The review will report to the Secretary of State for Health and Social Care, with interim findings by 16 December 2022, a first draft by 31 January 2023 and a final report by no later than 15 March 2023.