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NHS trusts will soon need to join a provider collaborative, a move away from competition towards collaboration. But too much choice and ‘freedom’ to collaborate comes with risks - George Dellal explores some of the issues and outlines what makes for effective collaboration.

What does it mean to be a system leader in south east London? That’s the big question we want to answer. Over the last year we have spoken to people working in different care settings across our system, including those delivering, receiving and managing services.

Here's a 10-minute desk yoga routine Lydia devised for a project that she’s been working on. Feel free to use it, we hope that it helps get you through your day a little easier.

'The reality of health and care' is of course very little to do with policy-making. Yet that was the title of the talk I gave to explain why the neat diagrams of how health policy is supposed to work aren’t necessarily true.

If we think of collaboration as enlightened self interest, then there is an argument that the reason we survived as the dominant species is because we collaborated.

'Collaboration' is the watchword in the NHS at the moment, whether through primary care networks, integrated care systems, or other three letter acronyms. So why is it the experience of many organisations that collaboration comes despite the policy context, rather than because of it?