do my friends south of the border have opinions on this?

I have only read a brief article but would be highly suspicious myself. It another Americanism we can well leave to the Americans .

I have never heard of it but reading between the lines we pay for our care.

so why is there no outrage about the decision to allow this or has everyone just given up because its a waste of time ...Hunt must have had some disagreement about allowing this ?

This looks to me like a very good idea which someone should have had a long time ago. There's a decent explanation here:
www.kingsfund.org.uk/publications/accountable-care-explained

I too cannot understand why there is not an outcry. In theory they make sense, as the idea is that social and medical care should tie up and co-operate. However there is nothing to stop them being farmed out to private organisations.

www.independent.co.uk/news/uk/politics/jeremy-hunt-sarah-wollaston-nhs-privatisation-health-social-care-accountable-care-organisations-a8168571.html

These are the concerns.

One of the central aims is for the NHS and Social Services to work together. I worked in a joint unit several years ago as part of o pilot reorganisation. It didn't really work as the funding was not joined up and neither side were willing to give up any 'territory'. Perhaps this system will make that happen. It is another reorganisation which always costs time and money, there have been so many.

The language of accountable care comes from the US, where accountable care organisations (ACOs) were set up under President Obama’s health reforms in an attempt to improve care and reduce growing costs.
Presumably this is what Trump wanted to get rid of - so can it be a bad idea?

In theory it sounds very reasonable but constant reorganisation of any organisation is what drains so much money which could be better used elsewhere.

I would have to look into it more before commenting further.

It looks very open to confusion and the possibility of falling between two stools. Something needs to be done, though, so perhaps it's worth a try. Why does no-one stand up and say the problems in the NHS are due to there being too many people using it? I'm not being racist or anti-immigration here (I hope) but it seems obvious to me that that is the case. We therefore need fewer people or more money. Come on government, get it sorted.

Is this the change which is taking place in Devon? I have seen a report and thought it looked like a big step towards partially privatising the NHS.

Must be honest I didn't really know about this. Why hasn't it been broadcast and displayed more so as to give the public time to discuss it. It must not be allowed to be sneaked in.