1) The document discusses lessons that can be learned from integrated care delivery systems in the US that could be applied in the UK. 2) Two key lessons are about governance and leadership, and balancing risk and incentives. Successful US systems are built on strong clinical leadership and management processes. They also balance vertically integrated and virtually integrated models to appropriately allocate risk. 3) Health information technology is also essential to enable integration of care, services, and organizational structures. Member access, coordination of care, and management information systems must be supported.