Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential short term impact of (a) restructures of Integrated Care Systems and (b) abolition of NHS England on the ability of the NHS to deliver services.

NHS England has asked integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and to reduce the duplication of responsibilities within their structure, with the expectation of achieving a reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts in a letter 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/

Along with the reform of NHS England’s responsibilities, these changes will form part of a package of measures, including the forthcoming 10-Year Health Plan, that positively impact on patient care and safety by driving quality of care, productivity, and innovation in the NHS. ICBs will continue to deliver their statutory responsibilities and NHS England’s transformation team will continue to work with ICBs to develop their plans and ensure the implementation of changes whilst maintaining a focus on delivering NHS statutory functions.