NHS England is responsible for determining allocations of financial resources to Integrated Care Boards (ICBs) from April 2022. Total annual budgets given to ICBs cover the majority of NHS spending. The allocations process uses a statistical formula to make geographic distribution fair and objective, so that it more clearly reflects local healthcare need and helps to reduce health inequalities.

This page contains the allocations and associated documents for the 2022/23 allocations round. Information on previous allocations can be found below:

Allocation of resources 2022/23

Technical guide to ICB allocations 2022/23 to 2024/25

Supporting spreadsheets for allocations 2022/23

In addition to the above spreadsheets, we have developed a place-based tool which allows the user to aggregate GP practices into defined areas i.e. “places” of interest and calculates the weighted populations and relative need indices for these defined areas. The tool is designed to provide insight into the lower area level data that informs the overall allocations to ICBs by providing information on the variation in need between different areas within ICBs.

Please refer to the following document on how to use the  tool:


During January 2022, we engaged stakeholders in two webinars (one general, one technical) on the proposed methodology by which target funding allocations will in future be set for specialised services for integrated care system populations (webinar recordings and materials are available on request). The following document sets out the methodology and invites comment: Advisory Committee on Resource Allocation (ACRA): Prescribed specialised services needs-based allocations methodology.

Feedback can be made by 30 June 2022 by email to

Background materials

Cost recovery for overseas visitors

Research reports on the allocations formulae




ACRA recommendation letters and papers

The Advisory Committee on Resource Allocation (ACRA) provides recommendations and advice on the target, relative geographical distribution of funding for health services in England, given the objectives of the funding formula. It is supported by a Technical Advisory Group (TAG).  ACRA membership is set out in the terms of reference.

ACRA papers

This section contains papers from ACRA discussions.  Some aspects of these papers have been redacted in line with FOI principles.

Further reading

Need more help?

For queries on ICB Allocations or suggestions for ACRA’s work programme please email: