Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he plans to issue guidance to integrated care boards requiring them to protect the local place parts of their organisations when they are making their required spending reductions.

As part of the necessary changes to support the National Health Service to recover, NHS England has indicated that integrated care boards (ICBs) should reduce in size. The Government is supportive of NHS England’s decision and will work with NHS England to make the necessary choices that are needed to get the NHS back on its feet. We expect ICBs to continue to deliver their responsibilities, including the planning and delivery of health and care services. Ministers will work with the new transformation team at the top of NHS England, led by Sir Jim Mackey, to ensure that the expected hundreds of millions of pounds savings made will be reinvested into frontline services to deliver better care for patients.

Further detail on the future of ICBs was provided in a letter issued to all ICBs and NHS trusts and foundation trusts on 1 April 2025. This letter is available at the following link:

https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/

Places are crucial for supporting the delivery of neighbourhood health, the three shifts, and the Health Mission. The Government continues to see place as a vital commissioning footprint within integrated care systems. Further details on this will be set out in the 10-Year Health Plan.