That was fundamental part of the NHS foundation model that governors would hold them to account.

Yeah, I mean, I think the question of accountability is really interesting, isn't it? A lot, a lot of our work is focused on what accountability looks like at the more, um, local level.

So we've, we've done work on integrated care systems, um, in the, in the last few years, understanding the kind of governance and accountability at that level.

Um, and, and what we've seen is it's, you know, it's really complex.

We, we know how variable integrated care systems are across the country, and what that means is almost each one of them looks very different in terms of how the local governance works.

They've had a lot of permiss- uh, you know, permissiveness and flexibility over how they organize some of that Um, perhaps too much over how they set themselves up and not on a- over kind of what they actually can do.

Um, uh, they vary hugely in terms of size, organizational complexity, you know, how you bring those different partners in, um, and hear those voices around the table.

With the avenues of communication we have, how do we ensure the staff read it all, given the previous speaker stating we're seriously under-resourced and overwhelmed with changes?" Phoebe, do you want to lead on that one?