Nick Hicks has been a GP and a Chief Executive and Director of Public Health for a PCT. He is now CEO of an independent consultancy called COBIC focussing on outcomes-based health and care. In this podcast Nick describes how the experience of working directly with communities to discuss their health outcomes led to the formation of COBIC. He describes a system of outcome-based contracting that creates the conditions for innovation and outlines for Ben the fundamentals of accountable care.