Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of changes to the (a) structure and (b) responsibilities of Integrated Care Boards on the (i) commissioning and (ii) delivery of multiple sclerosis services.

NHS England has asked the 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 has shared a draft of The Model ICB Blueprint to help ICBs shape future plans. The blueprint confirms their critical role as strategic commissioners, with their core functions centred in population health management, including understanding local context, developing a long-term strategy, allocating resources, and evaluating impact.

The Government is focused on improving health, and as part of that has produced a 10-Year Health Plan in order to reform the health system. The Government 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 of savings made will be reinvested into frontline services and to unlock the benefit of working at scale to deliver better care for patients, including those with multiple sclerosis.