More about each integrated care system

On this page you can find the list of integrated care system (ICS) leaders and follow links to each ICS website. This information has been updated to reflect agreed shared leadership arrangements as some integrated care boards (ICBs) cluster and make joint leadership appointments. This page will be updated with details of leadership appointments for ICB clusters once these are confirmed.

In some cases, one website serves both the local integrated care board and integrated care partnership (ICP). On each ICB website, you can find their governance handbook, which describes how the ICB makes its decisions, and that ICB’s constitution, which regulates the composition and operation of its board.

Each ICP has a chair, who in some areas also chairs the ICB. Others have a chair from a local authority, and others have a shared or rotating co-chair.

Clustering arrangements

The clusters agreed by NHS England’s Executive team and by ministers are outlined below. They will be implemented during Q3 of 2025/26 but not every ICB is involved in clustering arrangements.

While clustering ICBs will work together through shared leadership and combined teams, they will remain separate legal entities.

East of England

Integrated care boards Clusters
Bedfordshire, Luton and Milton Keynes ICB Bedfordshire, Luton and Milton Keynes ICB with Cambridgeshire and Peterborough ICB and with Hertfordshire and West Essex ICB
Cambridgeshire and Peterborough ICB
Hertfordshire and West Essex ICB
Mid and South Essex ICB N/A*
Norfolk and Waveney ICB Norfolk and Waveney ICB with Suffolk and North East Essex ICB
Suffolk and North East Essex ICB

London

Integrated care boards Clusters
North Central London ICB North Central London ICB with North West London ICB
North West London ICB
North East London ICB N/A
South East London ICB N/A
South West London ICB N/A

Midlands

Integrated care boards Clusters
Birmingham and Solihull ICB Birmingham and Solihull ICB with Black Country ICB
Black Country ICB
Coventry and Warwickshire ICB Coventry and Warwickshire ICB with Herefordshire and Worcestershire ICB
Herefordshire and Worcestershire ICB
Derby and Derbyshire ICB Derby and Derbyshire ICB with Lincolnshire ICB and with Nottingham and Nottinghamshire ICB
Lincolnshire ICB
Nottingham and Nottinghamshire ICB
Leicester, Leicestershire and Rutland ICB Leicester, Leicestershire and Rutland ICB with Northamptonshire ICB
Northamptonshire ICB
Shropshire, Telford and Wrekin ICB Shropshire, Telford and Wrekin ICB with Staffordshire and Stoke-on-Trent ICB
Staffordshire and Stoke-on-Trent ICB

North East and Yorkshire

Integrated care boards Clusters
Humber and North Yorkshire ICB N/A
North East and North Cumbria ICB N/A
South Yorkshire ICB N/A
West Yorkshire ICB N/A

North West

Integrated care boards Clusters
Cheshire and Merseyside ICB N/A
Greater Manchester ICB N/A
Lancashire and South Cumbria ICB N/A

South East

Integrated care boards Clusters
Buckinghamshire, Oxfordshire and Berkshire West ICB Buckinghamshire, Oxfordshire and Berkshire West ICB with Frimley ICB
Frimley ICB
Hampshire and Isle of Wight ICB N/A
Kent and Medway ICB N/A
Surrey Heartlands ICB Surrey Heartlands ICB with Sussex ICB
Sussex ICB

South West

Integrated care boards Clusters
Bath and North East Somerset, Swindon and Wiltshire ICB Bath and North East Somerset, Swindon and Wiltshire ICB with Dorset ICB and with Somerset ICB
Dorset ICB
Somerset ICB
Bristol, North Somerset and South Gloucestershire ICB Bristol, North Somerset and South Gloucestershire ICB with Gloucestershire ICB
Gloucestershire ICB
Cornwall and Isles of Scilly ICB Cornwall and Isles of Scilly ICB with Devon ICB
Devon ICB

* Mid and South Essex ICB is not clustering but will work closely with West Essex and North East Essex geographies from relevant ICBs.

Find your local integrated care system leadership

Information last updated: 19 August 2025

Bedfordshire, Luton and Milton Keynes

Leaders

  • Chair: Robin Porter
  • CEO: Felicity Cox
  • ICP Chair: Councillor Khtija Malik / Councillor Martin Towler

Clustering with Cambridge and Peterborough ICB; and with Hertfordshire and West Essex ICB.

Cambridgeshire and Peterborough

Leaders

  • Chair: John O’Brien
  • CEO: Jan Thomas
  • ICP Chair: John O’Brien

Clustering with Bedfordshire, Luton and Milton Keynes ICB; and with Hertfordshire and West Essex ICB.

Hertfordshire and West Essex

Leaders

  • Chair: Paul Burstow
  • CEO: Jane Halpin
  • ICP Chair: Councillor Richard Roberts

Clustering with Bedfordshire, Luton and Milton Keynes ICB; and with Cambridge and Peterborough ICB.

Mid and South Essex

Leaders

  • Chair: Professor Michael Thorne CBE
  • Interim CEO: Tom Abell
  • ICP Chair: Professor Michael Thorne CBE
  • ICP Vice/Co-chair: Councillor John Spence (Essex)
  • ICP Vice/Co-chair: Councillor Maxine Sadza (Southend)
  • ICP Vice/Co-chair: Councillor Mark Hooper (Thurrock)

Norfolk and Waveney

Leaders

  • Interim Chair: Professor Will Pope
  • Interim CEO: Ed Garratt OBE
  • ICP Chair: Councillor Bill Borrett

Clustering with Suffolk and North East Essex ICB.

Suffolk and North East Essex

Leaders

  • Chair: Professor William Pope
  • CEO: Ed Garratt
  • ICP Co-chair: Councillor John Spence
  • ICP Co-chair: Councillor Steve Wiles
  • ICP Co-chair: Professor William Pope

Clustering with Norfolk and Waveney ICB.

North Central London

Leaders

  • Chair: Paul Najsarek
  • CEO: Frances O’Callaghan
  • ICP Chair: Mike Cooke

Clustering with Nort West London ICB.

North West London

Leaders

  • Acting Chair: Anita Charlesworth
  • CEO: Rob Hurd
  • ICP Co-chair: Dr Penny Dash
  • ICP Co-chair: Councillor Nafsika Butler-Thalassis

Clustering with North Central London ICB.

 North East London

Leaders

  • Chair: Marie Gabriel CBE
  • CEO: Zina Etheridge
  • ICP Chair: Marie Gabriel CBE

South East London

Leaders

  • Chair: Sir Richard Douglas CB
  • CEO: Andrew Bland
  • ICP Co-chair: Sir Richard Douglas CB
  • ICP Co-chair: Councillor Kieron Williams

South West London

Leaders

  • Chair: Mike Bell
  • CEO: Katie Fisher
  • ICP Co-chair: Councillor Ruth Dombey
  • ICP Co-chair: Mike Bell

Birmingham and Solihull

Leaders

  • Interim Chair: Patrick Vernon OBE
  • CEO: David Melbourne
  • ICP Co-chair: Professor Patrick Vernon OBE (rotation of chairs)
  • ICP Co-chair: Councillor Ian Courts
  • ICP Co-chair: Councillor Mariam Khan

Clustering with Black Country ICB.

 Black Country

Leaders

  • Chair: Anu Singh
  • Interim CEO: Mark Axcell
  • ICP Chair: Anu Singh

Clustering with Birmingham and Solihull ICB.

Coventry and Warwickshire

Leaders

  • Chair: Danielle Oum
  • CEO: Phil Johns
  • ICP Chair: Danielle Oum

Clustering with Herefordshire and Worcestershire ICB.

Derby and Derbyshire

Leaders

  • Chair: Dr Kathy McLean OBE
  • CEO: Dr Chris Clayton
  • ICP Co-chair: Councillor Aliston Martin
  • ICP Co-chair: Councillor Carol Hart

Clustering with Lincolnshire ICB; and with Nottingham and Nottinghamshire ICB.

Herefordshire and Worcestershire

Leaders

  • Chair: Crishni Waring
  • CEO: Simon Trickett
  • ICP Co-chair: Councillor David Ross
  • ICP Co-chair: Councillor Carole Gandy

Clustering with Coventry and Warwickshire ICB.

Leicester, Leicestershire and Rutland

Leaders

  • Chair: Paula Clark
  • Interim CEO: Toby Sanders
  • ICP Chair (interim): Paula Clark
  • ICP Co-chair: Councillor Louise Richardson

Clustering with Northamptonshire ICB.

Lincolnshire

Leaders

  • Chair (Interim): Gerry McSorley
  • Interim CEO: Clair Raybould
  • ICP Chair: Councillor Susan Woolley

Clustering with Derby and Derbyshire ICB and with Nottingham and Nottinghamshire ICB.

Northamptonshire

Leaders

  • Interim Chair: Paula Clark
  • CEO: Toby Sanders
  • ICP Co-chair: Naomi Eisenstadt
  • ICP Co-chair: Councillor Matt Golby
  • ICP Co-chair: Councillor Gill Mercer

Clustering with Leicester, Leicestershire and Rutland ICB.

Nottingham and Nottinghamshire

Leaders

  • Chair: Dr Kathy McLean OBE
  • CEO: Amanda Sullivan
  • ICP Chair: Dr Kathy McLean OBE

Clustering with Derby and Derbyshire ICB; and with Lincolnshire ICB.

Shropshire, Telford and Wrekin

Leaders

  • Chair: Ian Green OBE
  • CEO: Simon Whitehouse
  • ICP Co-chair: Councillor Lee Carter
  • ICP Co-chair: Councillor Lezley Picton

Clustering with Staffordshire and Stoke-on-Trent ICB.

Staffordshire and Stoke-on-Trent

Leaders

  • Interim Chair: David Pearson MBE
  • Acting CEO: Paul Edmonson-Jones
  • ICP Co-chair: David Pearson (rotation of chairs)
  • ICP Co-chair: Councillor Jane Ashworth
  • ICP Co-chair: Councillor Alan White

Clustering with Shropshire, Telford and Wrekin ICB.

Humber and North Yorkshire

Leaders

  • Acting Chair: Jason Stamp
  • Acting CEO: Teresa French
  • Acting ICP Chair: Jason Stamp

North East and North Cumbria

Leaders

  • Chair: Professor Sir Liam Donaldson
  • CEO: Samantha Allen
  • ICP Chair: Professor Sir Liam Donaldson

South Yorkshire

Leaders

  • Chair: Pearse Butler
  • CEO: Gavin Boyle
  • ICP Chair: Oliver Coppard

West Yorkshire

Leaders

  • Interim Chair: Nadira Mirza
  • CEO: Rob Webster
  • ICP Chair: Councillor Tim Swift

Cheshire and Merseyside

Leaders

  • Chair: Raj Jain
  • CEO: Cathy Elliott
  • ICP Chair: Councillor Louise Gittins

Greater Manchester

Leaders

  • Chair: Sir Richard Leese
  • CEO: Mark Fisher CBE
  • ICP Co-chair: Sir Richard Leese
  • ICP Co-chair: Andy Burnham

Lancashire and South Cumbria

Leaders

  • Chair: Emma Woollet
  • CEO: Sam Proffitt
  • ICP Chair: Councillor Damien Talbot

Buckinghamshire, Oxfordshire and Berkshire West

Leaders

  • Chair: Dr Priya Singh
  • CEO: Nick Broughton
  • ICP Chair: Dr Priya Singh

Clustering with Frimley ICB.

Frimley

Leaders

  • Chair: Dr Priya Singh
  • Interim CEO: Sam Burrows
  • ICP Co-Chair: Dr Priya Singh
  • ICP Co-Chair: Karen Edwards

Clustering with Buckinghamshire, Oxfordshire and Berkshire West ICB.

Hampshire and Isle of Wight

Leaders

  • Chair: Lena Samuels
  • CEO: Maggie MacIsaac
  • ICP Chair: Simon Bryant

Kent and Medway

Leaders

  • Chair: Cedi Frederick
  • CEO: Paul Bentley
  • ICP Chair: Vince Maple

Surrey Heartlands

Leaders

  • Chair: Ian Smith
  • CEO: Karen McDowell
  • ICP Chair: Councillor Tim Oliver

Clustering with Sussex ICB.

 Sussex

Leaders

  • Chair: Stephen Lightfoot
  • CEO: Adam Doyle
  • ICP Chair: Stephen Lightfoot

Clustering with Surrey Heartlands ICB.

Bath and North East Somerset, Swindon and Wiltshire

Leaders

  • Chair: Stephanie Elsy
  • CEO: Sue Harriman
  • ICP Chair: Councillor Richard Clewer

Clustering with Dorset ICB; and with Somerset ICB.

Bristol, North Somerset and South Gloucestershire

Leaders

  • Chair: Jeff Farrar
  • CEO: Shane Devlin
  • ICP Chair: Councillor Mike Bell

Clustering with Gloucestershire ICB.

Cornwall and Isles of Scilly

Leaders

  • Chair: John Govett
  • CEO: Kate Shields
  • ICP Co-chair: John Govett
  • ICP Co-chair: Councillor Linda Taylor

Clustering with Devon ICB.

Devon

Leaders

  • Chair: Kevin Orford
  • CEO: Steve Moore
  • ICP Co-chair: Councillor James McInnes

Clustering with Cornwall and Isles of Scilly ICB.

Dorset

Leaders

  • Chair: Rob Whiteman
  • CEO: Patricia Miller
  • ICP Chair: Jenni Douglas-Todd

Clustering with Bath and North East Somerset, Swindon and Wiltshire ICB; and with Somerset ICB.

Gloucestershire

Leaders

  • Chair: Dame Gill Morgan
  • CEO: Mary Hutton
  • ICP Chair: Councillor Carole Allaway-Martin

Clustering with Bristol, North Somerset and South Gloucestershire ICB.

Somerset

Leaders

  • Chair: Paul von der Heyde
  • CEO: Jonathan Higman
  • ICP Chair: Councillor Bill Revans

Clustering with Bath and North East Somerset, Swindon and Wiltshire ICB; and with Dorset ICB.