NHS England is responsible for determining allocations of financial resources to integrated care boards (ICBs). 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 2025/26 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 2025/26

• ICB allocations 2025/26 (core services)
• ICB allocations 2025/26 (specialised services)
• ICB allocations 2025/26 (primary medical care)
• ICB running cost allowance 2023/24 to 2025/26
• ICB allocations 2025/26 (other primary care)
• ICB allocations 2025/26 (all funding streams, spreadsheet)
• NHS operational planning and contracting guidance 2025/26
• Target allocation (waterfalls) 2025/26

Technical guide to ICB allocations 2025/26

• Technical guide to allocation formulae and convergence for 2025/26 revenue allocations

Supporting spreadsheets for allocations 2025/26

• A – Populations by GP practice and ICB – November 2023 to October 2024
• B – General and acute need 2025/26
• C – Community services need 2025/26
• D – Mental health need 2025/26
• E – Maternity need 2025/26
• F – Prescribing need 2025/26
• G – Health inequalities adjustment 2025/26
• H – Market forces factor (MFF) 2025/26
• I – Emergency ambulance cost adjustment (EACA) 2025/26
• J – Overall weighted populations by ICB and GP practice 2025/26
• K – Primary care 2023/24 to 2025/26
• L – Specialised services 2025/26
• N – Primary medical care convergence 2025/26
• O – ICB core services convergence 2025/26
• P – Specialised services convergence 2025/26
• Q – Waterfalls analysis 2025/26
• X – ICB boundary mappings 2025/26

Supporting tools for allocations

ICB place-based allocations tool (2025/26)

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.

It includes a frequently asked questions section accessible from the top-right in the tool. This also covers how to use the tool.