Anna Charles considers what we might learn from the local system plans currently being developed by sustainability and. //-->. //--> Structural and organisational changes on their own will not deliver these improvements; the focus should be on establishing different ways of working and new models for delivering care, with changes to governance and structures supporting rather than driving the change. ICSs have focused their work on a number of areas, including: Some ICSs have also begun to support changes within their local systems, for example, by developing joint strategies to address workforce shortages and making it easier for staff to work flexibly across different organisations, and making progress on developing electronic patient records and information-sharing. ICSs do not require contractual or structural change. For staff, improved collaboration can help to make it easier to work with colleagues from other organisations. The interventions and behaviours of the regulators have sometimes made it more difficult for organisations to collaborate. Despite being effectively mandated by NHS England and NHS Improvement, ICSs and STPs are currently voluntary partnerships as they have no basis in legislation and no formal powers or accountabilities. These documents are really helpful and they assist in clarifying the policy of integration in a practical user friendly way. As well as the NHS, the organisations include local authorities and independent care providers. [CDATA[// > // -- >