Panel debate: can integration reboot the nation's lung health?

06 Dec 2018 10:30

On Thursday 6th December 2018 at the BTS Winter Meeting, Respiratory Futures hosted a panel debate discussing "can integration reboot the nation's lung health?"

You can listen again to the debate here, and hear more from our Chair and panellists below:

Our Chair was David Brindle, Guardian Public Services Editor, and our panellists were:

  • Dr Jo Congleton, Integrated Respiratory Care Consultant, Brighton and Hove NHS Trust and clinical lead for the Kent, Surrey, Sussex AHSN Respiratory Programme
  • Dr Binita Kane, Consultant Respiratory Physician, Integrated Respiratory Care Clinical Lead South Manchester and Clinical Lead for the Health Innovation Manchester 'Greater Manchester COPD Programme'
  • Professor Mike Morgan, NHSE National Respiratory Clinical Director, Consultant Respiratory Physician UH Leicester NHS Trust and Honorary Professor at the University of Leicester
  • Professor Nick Harding OBE, Senior Medical Advisor, NHS England for the Primary Care Integrated Systems Chair, SWBCCG

In the context of the development since 2016 of Sustainability and Transformation Partnerships or Integrated Care Systems across England by 44 regional clusters comprising CCGs and NHS Trusts, local authorities and health and social care stakeholders, the debate addressed how clinicians and commissioners are engaging with what is arguably the most radical change to healthcare delivery in a decade.

The debate was lively and well-attended with significant engagement in the room on the benefits of integrated care, the special role respiratory medicine has to play in integration and how barriers to integration can be overcome.

Key areas discussed included:

  • investment in integrated care,
  • the value for money integration can offer,
  • the appropriate scale at which to target integration (CCG or STP),
  • finding the time and head space to focus on integration,
  • the importance of clinical networks,
  • the support that RightCare can offer,
  • lessons learnt from the London Respiratory Network,
  • the metrics of success for integrated clinicians,
  • collaborative governance,
  • IT systems, and
  • integrated patient records.


Hear what our chair and panellists have to say about integrated care.

Dr Jo Congleton:                                                                 


Dr Binita Kane:   

Prof Mike Morgan:                                                    

David Brindle: