Commons Sense

House of Commons · General Debate

Integrated Care Board Boundary Changes from 1 April 2027

14 October 2026 · 1 other contributor

Opened by Karin Smyth Lab Bristol South

Democracy & ElectionsNHS

Summarised by AI from the official record, so it can contain mistakes.

Read the full transcript on Parliament.uk

At a glance

Karin Smyth raised concerns about integrated care board boundary changes from 1 april 2027 in the House of Commons. Other MPs contributed to the debate.

Key points

  • The NHS England Executive decided on three changes to integrated care board (ICB) boundaries on 22 September 2026.
  • These changes will take effect on 1 April 2027 and aim to align ICBs with local and strategic authorities.
  • Further decisions on ICB boundary changes and mergers are anticipated for 1 April 2028.

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Opened the debate

Karin Smyth Lab Bristol South

On 22 September, the NHS England Executive formally decided three changes to integrated care board (ICB) boundaries. These have been approved by ministers and will take place on 1 April 2027. These changes will deliver alignment between those ICBs and local and strategic authorities, and progress delivery of our intention to align ICBs with strategic authorities by the end of the Parliament. Further decisions on ICB boundary changes and mergers will be taken alongside other decisions regarding public service boundaries and strategic authorities, with any further changes expected on 1 April 2028. The Government and NHS England will continue working with local partners to ensure all changes achieve the best outcomes for patients and citizens.

Other contributors (1)
  • Karin Smyth Lab Bristol South

    On 22 September, the NHS England Executive formally decided three changes to integrated care board (ICB) boundaries. These have been approved by ministers and will take place on 1 April 2027. These changes will deliver alignment between those ICBs and local and strategic authorities, and progress delivery of our intention to align ICBs with strategic authorities by the end of the Parliament. Further decisions on ICB boundary changes and mergers will be taken alongside other decisions regarding public service boundaries and strategic authorities, with any further changes expected on 1 April 2028. The Government and NHS England will continue working with local partners to ensure all changes achieve the best outcomes for patients and citizens.

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