September 2024 Br J Cardiol 2024;31:85–7 doi:10.5837/bjc.2024.039
Raj Thakkar
Professor Raj Thakkar The challenging questions we must ask ourselves are: How and why did we reach this status quo? What are the consequences of continuing to operate in the current care model? What should we do about it, by when and how? Are we really offering true value across the whole patient journey (and if we think we are, how do we know)? Do we honestly look outside our own business or service delivery units? Unified value and operational integration Let’s consider value for a moment. Can the NHS deliver true value-based care unless integrated-care systems (ICSs) are operationally integrated; but how can ICSs integrate if individu
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