Table 1.

Key policy initiatives and legislation relating in integrated health and social care in England between 2010 and 2014.

YEAR	TITLE	OVERVIEW
2012	Health & Social Care Act 2012	Established local health and wellbeing boards in each local authority area, with a duty to encourage the integrated commissioning of health and social care services. Required clinical commissioning groups to promote integration where this would improve quality or reduce inequalities.
2013	Integrated Care: Our Shared Commitment	The Department of Health and twelve national partners made a commitment for urgent and sustained action with an ambition to make joined-up and coordinated health and care the norm by 2018.
2013	Integrated Care and Support Pioneers	Twenty five local areas were selected to pilot new ways of working to improve the quality and cost-effectiveness of care for people whose needs are met from both NHS and local authority services.
2013	Better Care Fund	This national initiative required clinical commissioning groups and local authorities to pool a minimum of £3.8 billion to promote integrated working, overseen by local health and wellbeing boards
2014	Care Act 2014	Required local authorities to promote integration where this would promote wellbeing, improve quality, or prevent care needs from developing
2014	Five Year Forward View	Called for a ‘radical upgrade’ in prevention and public health; models of care which shift care from hospitals to settings closer to people’s homes. Introduced seven new models of care based around the Five Year Forward View to be piloted at 50 ‘vanguard’ sites