Commons Sense

House of Commons · Written Ministerial Statement

Reductions to the running costs of integrated care boards and progress towards aligning the boundaries of integrated care boards and strategic authorities

09 September 2025 · Department of Health and Social Care

Proposed by Karin Smyth Lab Bristol South

NHS

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

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At a glance

Key points

  • The government is reducing duplication in integrated care boards by clustering them, resulting in a decrease from 42 to 26 senior leadership teams this financial year.
  • New integrated care board boundaries are being announced and will take effect on April 1, 2026.
  • Further mergers and boundary changes for integrated care boards are planned for April 1, 2027.

Issue summary

The statement addresses reductions in the running costs of integrated care boards (ICBs) and the alignment of ICB boundaries with strategic authorities.

Action requested

The government is reducing duplication in ICB functions, clustering them to reduce senior leadership teams from 42 to 26 this financial year, and announcing new ICB footprints effective April 1, 2026. Further mergers and boundary changes are planned for April 1, 2027.

Key facts

  • The government committed to reducing the running costs of ICBs.
  • Clustering will reduce the number of ICB senior leadership teams from 42 to 26 this financial year.
  • New ICB footprints will come into effect on April 1, 2026.
  • Thames Valley and Central East ICBs are progressing with new footprints for future review.
  • Further mergers and boundary changes are planned for April 1, 2027.
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