The document discusses the NHS Strategic Projects Team's experience managing large procurements and their approach to integrated care procurements. The Strategic Projects Team has managed over £4 billion in cost-effective programs since 2009 that have driven innovation in the NHS. They provide a practical view of managing an integrated care procurement, including carrying out an options appraisal, stakeholder engagement, defining outcomes, understanding costs, and establishing evaluation teams early. Lessons learned include taking time for options appraisal, clear stakeholder engagement, articulating needed outcomes, knowing the cost base, and identifying evaluation teams early.