Integrated care systems and strategic authorities: Coming together to tackle health inequalities and the wider determinants of health

by 
RESEARCH
17th December 2025.

Integrated care systems and strategic authorities: Coming together to tackle health inequalities and the wider determinants of health

This essay was written by the Centre for Local Economic Strategies and The King’s Fund, as part of a programme of work commissioned by The Health Foundation.

Strategic authorities and integrated care systems are increasingly powerful entities with the potential to tackle health inequalities and improve population health. However, achieving this will require them to work together effectively. This essay explores the changing policy context in which these bodies exist, and the way the dynamics between them could and should evolve as devolution beds in.