ICS Partnerships in Practice: Winning Tenders Across Health and Social Care Boundaries

🧭 ICS Partnerships in Practice: Winning Tenders Across Health and Social Care Boundaries

Integrated Care Systems (ICSs) are transforming commissioning — joining NHS, local authority, and community providers under shared priorities. Here’s how to align your bids with ICS logic, evidence collaborative outcomes, and position your service as a trusted system partner.

💡 Useful links for providers:


🏥 Why ICSs Matter — And How They’re Changing Tendering

Integrated Care Systems (ICSs) bring NHS, local authority, and community services together to plan, fund, and deliver care as a single system. They are replacing siloed commissioning with place-based partnerships — and that means tendering is no longer just about service quality in isolation. It’s about contribution to shared outcomes like:

  • Reduced hospital admissions and re-admissions.
  • Shorter length of stay and faster discharge.
  • Improved population health and prevention.
  • Better use of data and integration across providers.
  • Reduced inequality and fairer access to care.

For providers, this means two things:

  1. Your bid must show how your service connects to system outcomes, not just your own KPIs.
  2. You need to evidence collaboration — that your governance, data and workforce are capable of working across organisational boundaries.

⚙️ What ICS Commissioners Are Looking For

Across England, ICS tenders (covering discharge, learning disability, reablement and community health) now evaluate on three interlocking domains:

  • Integration: How will your service align operationally and digitally with NHS/community partners?
  • Outcomes: How will your care model reduce demand, prevent escalation, or improve independence?
  • Sustainability: How will your workforce, governance and finances stay resilient within system pressures?

Winning bids make these domains visible in every answer — not as theory, but through measurable, partnership-based examples.


🧩 The ICS-Ready Bid Framework

Build every section around five partnership-focused pillars:

1️⃣ Shared Outcomes

  • Link your outcomes directly to ICS priorities: flow, prevention, community capacity, equality.
  • Use NHS language: “reduced length of stay”, “avoidable admissions prevented”, “community step-down capacity”, “wellbeing outcomes”.
  • Evidence through data: falls, medication errors, re-admissions, independence gains, continuity.

2️⃣ Governance & Assurance

  • Show system-facing governance — how incidents, audits and learning feed into shared quality structures.
  • Include named safeguarding leads, clinical leads, and partnership escalation protocols.
  • Reference CQC quality statements, NHS DSPT compliance, and joint governance meetings with system partners.

3️⃣ Data & Digital Integration

  • Evidence NHSmail use, eMAR integration, shared dashboards or secure messaging tools.
  • Show how you share outcome data with ICBs or local place boards.
  • Describe how insights inform system learning (“trend reports shared quarterly with ICS partners”).

4️⃣ Workforce Collaboration

  • Demonstrate joint training, cross-sector shadowing, and MDT supervision.
  • Align supervision models to system values: learning, reflection, escalation confidence.
  • Show stability and succession planning to protect continuity across multi-agency care.

5️⃣ Prevention & Value

  • Frame your work in prevention terms — hydration, medication adherence, PBS, nutrition, independence.
  • Quantify value: “10 fewer admissions”, “2.5-day shorter LOS”, “fewer agency hours”, “improved wellbeing scores”.
  • Demonstrate economic impact alongside human outcomes.

🏗️ Example: Learning Disability Partnership Service

Context: An ICS needed a collaborative support service for adults with learning disabilities and autism, aiming to reduce admissions and restrictive practices.

Approach: Provider embedded PBS coaches within MDTs, ran shared risk reviews with community teams, and used data to track incidents, independence and participation.

Evidence: Restrictive incidents fell by 47% in 9 months; community participation increased threefold; no crisis admissions in the same period.

Tender line: “Embedded PBS within ICS MDTs reduced restrictive incidents by 47% and prevented all crisis admissions across 9 months.”


🧠 Example: Home Care in an Integrated Discharge Pathway

Context: ICB and LA jointly commissioned a “Discharge to Assess” pathway to reduce delayed transfers of care.

Approach: Provider implemented 24h triage, eMAR reconciliation, and rapid response teams aligned with virtual wards. Data was shared daily with hospital flow coordinators.

Evidence: Referral-to-start median reduced from 36h → 18h; re-admissions down 24%; patient satisfaction 94%.

Tender line: “Integrated discharge model halved referral-to-start time and cut re-admissions by 24%, supporting hospital flow and community recovery.”


📊 How to Evidence Partnership in Bids

ICS evaluators value tangible proof of collaboration. Include:

  • Joint governance meeting minutes or shared dashboards.
  • Partnership MOUs or co-delivery protocols.
  • Case studies with measurable joint outcomes.
  • Training alignment with NHS competencies or Care Certificate Plus.
  • Shared improvement projects (hydration, falls, medication safety).

Even small joint initiatives demonstrate that you’re system literate — a trusted partner, not just a supplier.


🧮 The ICS KPI Set (Simple, System-Aligned, Scorable)

  • Flow: referral-to-start time; discharges supported; LOS reduced.
  • Safety: incidents per 1,000 hours; medication error rates; safeguarding response time.
  • Continuity: known-carer %; agency hours trend; retention rates.
  • Experience: satisfaction; confidence; community inclusion.
  • Prevention: admissions avoided; crises de-escalated; step-downs achieved.

Translate each KPI into a narrative: “Flow improved by 22%; satisfaction reached 93%; agency reliance reduced 18%.” Numbers + meaning = marks.


📄 Tools & Templates for Partnership Bids

  • Partnership Governance Framework: escalation, joint audits, quality reviews — included in Editable Strategies.
  • Integrated Care Method Statement: structure and metrics aligned to ICS scoring — see Editable Method Statements.
  • Outcome Dashboard: shared flow, safety, continuity, and satisfaction indicators.
  • PBS Practice Leadership Pack: coaching templates, supervision notes, MDT observation logs.
  • Reflective Supervision Template: actions linked to improvement evidence.

🧩 Integrating ICS Language Across Your Bid

Make ICS alignment visible in every section:

  • Workforce: joint training, MDT supervision, shared learning reviews.
  • Quality: system-facing dashboards, incident trends, governance meetings.
  • Safeguarding: shared thresholds, escalation to ICB and LA leads, audit trail.
  • Social value: apprenticeships, local employment, equalities impact, prevention outcomes.

Use phrasing that mirrors system objectives: “supporting flow”, “reducing escalation”, “building capacity”, “improving population outcomes”.


🧠 Example Tender Framework

  1. Context: ICS objective (e.g. reduce avoidable admissions by 10%).
  2. Our Role: service model aligned to NHS/LA integration priorities.
  3. Approach: partnership governance, shared data, joint training.
  4. Evidence: performance metrics (referral-to-start, continuity, re-admissions).
  5. Assurance: governance cycle, RCA learning, KPI review, improvement plan.

📐 Value Messaging That Wins in ICS Bids

  • Efficiency: collaboration reduces duplication and spend per outcome.
  • Safety: joint governance closes risk faster and reduces escalation.
  • Prevention: early intervention cuts hospital use and long-term dependency.
  • System impact: your service supports flow, reduces delays, improves equity.

When you position your service as part of the solution to system pressure, evaluators see you as essential — not optional.


🧭 Key Takeaways

  • 🏥 ICSs are reshaping how health and social care is commissioned — partnerships win bids.
  • 📊 Align your evidence to system outcomes (flow, prevention, equality, satisfaction).
  • ⚙️ Show governance, data and workforce structures that integrate seamlessly with NHS teams.
  • 🧩 Use partnership examples and trend data to prove credibility.
  • 🚀 Frame your service as a system asset that delivers safety, stability, and value.

Ready to write bids that resonate across health and social care? We can help through Bid Writer – Learning Disability, Bid Writer – Home Care, Bid Writer – Domiciliary Care, Bid Writer – Complex Care, Bid Proofreading, and Bid Strategy Training.


Written by Mike Harrison, Founder of Impact Guru Ltd — specialists in bid writing, strategy and developing specialist tools to support social care providers to prioritise workflow, win and retain more contracts.

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