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Integrated care systems and strategic authorities tackling health inequalities

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MariaPCC 23 December 2025

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.

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