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 merits of moving non-clinical service delivery decision-making from managers to (a) consultants and (b) specialist doctors.

Integrated care boards (ICBs) are the strategic commissioners of health and care services in England. NHS England has asked the ICBs to reduce the duplication of functions, to achieve efficiencies and reduce their running costs, with the aim to direct the cost savings towards front line National Health Service health and care services.

No assessment has been made in regard to moving any non-clinical services to clinical staff. We expect the ICBs to review their functions whilst acting as strategic commissioners, and this includes where multiple assurance and regulatory functions are being done by different organisations, wider performance management, and comms and engagement, which similarly exists in local authorities, providers, and regions, with a view of delegating these functions appropriately.