As a group of partners involved in health and social care, we have agreed to work in closer partnership to improve care for you, your family and community.

This does not replace any legal, or statutory, responsibilities of any of the partner organisations. It is simply an agreement to work together better.

A key test to our success as a partnership and the strength of our relationships will be how well we “work as one” – such as how we respond to each other in times of need while putting the needs of individuals, patients and the public first.

The picture below shows how each of our 'places' (Barnsley, Bassetlaw, Doncaster, Rotherham and Sheffield) connects with the Integrated Care System (ICS). It also shows the connection between decision making bodies (the Provider Alliance and the Commissioner Alliance) and understanding the needs of the population.


Our agreement to work together

The following principles are the basis of our partnership:

  • Improving quality and outcomes – we will work collectively to improve quality of care and make sure everyone has equal access to high quality, safe services.
  • Inclusiveness – we will all be included in decision making and empowered to shape developments.
  • Participation – we will be involved in decisions that impact on the health and care services across the region.
  • Involvement - we will continue to work with the public and patients and involve them in ongoing discussions and through the Citizens' Panel
  • Integration – we will work more closely, between services and organisations, to make improvements in health and care.
  • Subsidiarity – we will support decision making at the most appropriate level. For example, the Joint Committee of Clinical Commissioning Groups has the authority/permission from each CCG governing body to make decisions on their behalf – as a region not as a place (eg, South Yorkshire and Bassetlaw rather than Doncaster etc).
  • Transparency – decision making will be transparent with information shared openly between partners.
  • Co-production – national partners will work jointly with us on decision making and delegation.
  • “Form aligned to function” – we will organise ourselves in the best way to deliver shared goals.
  • Wider system (NHS) focused – we will continue to make sure any local developments link with national objectives and decide how best to deliver national priorities locally.
  • Accountability – we will all keep our statutory (legal) accountabilities for health and social care and any commitments made will be subject to organisations continuing to meet them.

How we're working together

Each ICS partner continues to make decisions for its organisation. Collective decision making is made by the two alliances - the Provider Alliance and the Commissioner Alliance. They only do this when there is a regional problem or issue that needs solving for all the population.

Each of the five 'places' is developing an Accountable Care Partnership (ACP) to further strengthen the relationship between the NHS and local authorities and improve health and care for local people.

In the Integrated Care System, there are several groups that discuss issues and agree how best to take things forward. They are:

  • Oversight and assurance group
  • Collaborative partnership board
  • Executive steering group
  • Workstream projects and their boards

The ICS oversight and assurance group includes chairs from clinical commissioning groups, hospital trusts and health and wellbeing boards. The meetings are attended by their chief executives and accountable officers.


The ICS collaborative partnership board includes chief executives and accountable officers from acute and mental health hospitals, primary care, commissioning groups, local authorities, voluntary action groups, Healthwatch organisations, NHS England and other arm’s length bodies. Clinical chairs from commissioning groups are also represented on the board.

The ICS executive steering group includes chief officers and chief executives, directors of strategy, transformation and delivery and directors of finance.

There is also a range of programme boards responsible for delivering the workstreams. These are led by a chief executive and senior responsible officer (an accountable officer from a clinical commissioning group) and supported by a director of finance and a project manager/workstream lead.