White Paper
Advancing Integrated Care in England: A Practical Path for Care Transformation
Published date
The Duke-Margolis Center for Health Policy and the Global Health Innovation Center at Duke University conducted a study to review progress of and identify steps to advance integrated care models in the National Health Service (NHS) in England. Implementing these care models is a priority for NHS England: they span a range of person-focused delivery innovations that can improve outcomes that matter for patients while enabling health care resources to be used more efficiently. Given the current funding and legislative context for the NHS, we assessed effective and practical paths to accelerate the adoption of better integrated, higher-value care. We sought to identify feasible modifications in the NHS’ policies and feasible steps for NHS providers to take based on growing experiences in England and globally with integrated care.
Margolis Authors

Andrea Thoumi, MPP, MSc
Health Equity Policy Fellow
Senior Team Member
Anti-Racism and Equity Committee Member
Core Faculty Member
Adjunct Assistant Professor
2020 Intern Mentor

Jonathan Gonzalez-Smith, MPAff
Research Associate

Krishna Udayakumar, MD, MBA
Director of Post-Graduate Education Initiatives, Margolis Center
Associate Professor of Global Health and Medicine
Margolis Executive Core Faculty
2020 Intern Mentor

Mark McClellan, MD, PhD
Director of Margolis Center
Robert J. Margolis, MD, Professor of Business, Medicine and Policy
Margolis Executive Core Faculty