For Patricia Hewitt, integrated care systems (ICSs) are the best opportunity we have to transform the health and care system this generation. But realising their potential requires fundamental change – this has been Patricia’s focus over the past few months. On 4 April, the former health secretary and integrated care board chair released the final report from her review into the oversight and governance of ICSs. In this episode, she gets candid about what the review found and why radical proposals feature among her recommendations. Hear her take on autonomy, prevention and health inequalities, regulation, funding and how to make self-improving systems. 

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