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Integrated Care Systems have a common purpose, set of objectives and macro challenges to address. However, at the local level, their priorities differ – meaning the way Integrated Care Partnerships have been established and how their Integrated Care Boards are organised, can vary. We spoke with Penny Dash, Chair of North West London ICS, about how, by bringing all the organisations together into a place-based partnership, can an ICS focus on improving people’s health and addressing inequalities. Only by ensuring all parties are working towards the same objectives can efficiency and productivity be delivered. 00:00 - Introduction 00:34 - ICS overview and development progress 01:44 - The architecture of an ICS 02:17 - Major challenges for an ICS 04:33 - Early ICS successes 06:26 - How suppliers can support an ICS 09:24 - How ICSs might evolve in the future