This document provides a business case for an integrated care pilot in North West London. It outlines the vision and goals of improving patient outcomes, access to care outside hospitals, and cross-provider collaboration. The pilot will focus on care pathways for patients with diabetes and elderly patients, who represent a large portion of healthcare spending. Key components will include multi-disciplinary clinician groups, new care protocols, and overarching enablers like a joint governance model, financial incentives, and an information tool to facilitate integrated care delivery. The pilot aims to improve quality of care, enhance the professional experience for clinicians, and achieve cost savings through reduced hospital admissions and more efficient care. Success will be evaluated using metrics on activities, care planning, and