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 the latest allocations round along with papers and research reports can be found on the main allocations page.

Allocation of resources 2022/23

• ICB allocations 2022/23 (core services)
• ICB allocations 2022/23 (primary care medical)
• ICB Running cost allowance 2022/23
• ICB allocations 2022/23 (all funding streams, spreadsheet)
• NHS Operational Planning and Contracting Guidance 2022/23
• Change to ICB core services target allocation (waterfalls) 2022/23

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

• Technical Guide to Allocation Formulae and Pace of Convergence for 2022/23 to 2024/25 revenue allocations

Supporting spreadsheets for allocations 2022/23

• A – Registrations by GP practice and ICB – Oct 21
• B – Population Projections by GP practice and ICB 2022/23
• C1 – General and Acute Need 2022/23
• C2 – Community Services Need 2022/23
• D – Mental Health Need 2022/23
• E – Maternity Need 2022/23
• F – Prescribing Need 2022/23
• G – Avoidable mortality weighted populations 2022/23
• H – Market Forces Factor (MFF) 2022/23
• I – Emergency Ambulance Cost Adjustment (EACA) 2022/23
• J – Overall weighted populations by ICB and GP practice 2022/23
• K – Primary care 2022/23
• N – Primary medical care convergence 2022/23
• O – ICB core services convergence 2022/23
• S – Running cost allowance 2022/23
• X – ICB boundary changes 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:

• Place-based tool: how to use

Engagement

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.