More about each integrated care system

On this page you can find the following:

This information has been updated to reflect agreed shared leadership arrangements as some integrated care boards (ICBs) have formed clusters and made joint leadership appointments. It also reflects the new ICB footprints from 1 April 2026, details of which can be found in the written ministerial statement laid in Parliament. An ICB’s footprint is the same as the footprint of the corresponding integrated care partnership (ICP), and together they form the integrated care system (ICS).

In some cases, one website serves both the local ICB and ICP. On each ICB’s website, you can find its constitution which sets out the composition and operation of its board, and its governance handbook which describes how the ICB makes its decisions.

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

Clustering arrangements

The clusters agreed by NHS England’s Executive team and by ministers are outlined below.

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

East of England

Integrated care boards Clusters
Central East ICB N/A
Essex ICB N/A
Norfolk and Suffolk ICB N/A

London

Integrated care boards Clusters
North East London ICB N/A
South East London ICB South East London ICB with South West London ICB
South West London ICB
West and North 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
Hampshire and Isle of Wight ICB N/A
Kent and Medway ICB N/A
Thames Valley ICB N/A
Surrey and Sussex ICB N/A

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

Find your local integrated care system leadership

Information last updated: 1 April 2026.

Central East

Leaders:

  • Chair: Robin Porter
  • CEO: Jan Thomas
  • ICP Chair: TBC

Essex

Leaders:

  • Chair: Professor Michael Thorne CBE
  • CEO: Tom Abell
  • ICP Chair: TBC

Norfolk and Suffolk

Leaders:

  • Chair: Professor Will Pope
  • CEO: Ed Garratt
  • ICP Chair: TBC

North East London

Leaders:

  • Chair: Dame Marie Gabriel CBE
  • CEO: Dr Nnenna Osuji
  • ICP Chair: Dame 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

Clustering with South West London ICB.

South West London

Leaders:

  • Chair: Sir Richard Douglas CB
  • CEO: Andrew Bland
  • ICP Co-chair: Sir Richard Douglas CB
  • ICP Co-chair: Councillor Ruth Dombey

Clustering with South East London ICB.

West and North London

Leaders:

  • Chair: Mike Bell
  • Interim CEO: Katie Fisher
  • ICP Chair: TBC

Birmingham and Solihull

Leaders:

  • Chair: Danielle Oum
  • 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: Danielle Oum
  • CEO: David Melbourne
  • ICP Chair: Anu Singh

Clustering with Birmingham and Solihull ICB.

Coventry and Warwickshire

Leaders:

  • Chair: Crishni Waring
  • CEO: Simon Trickett
  • ICP Chair: Crishni Waring

Clustering with Herefordshire and Worcestershire ICB.

Derby and Derbyshire

Leaders

  • Chair: Dr Kathy McLean OBE
  • CEO: Amanda Sullivan
  • ICP Co-chair: Councillor Aliston Martin
  • ICP Co-chair: Councillor Dawn Abbott

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

Herefordshire and Worcestershire

Leaders:

  • Chair: Crishni Waring
  • CEO: Simon Trickett
  • ICP Co-chair: Councillor Satinder Bell
  • ICP Co-chair: Councillor Carole Gandy

Clustering with Coventry and Warwickshire ICB.

Leicester, Leicestershire and Rutland

Leaders:

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

Clustering with Northamptonshire ICB.

Lincolnshire

Leaders:

  • Chair: Dr Kathy McLean OBE
  • CEO: Amanda Sullivan
  • ICP Chair: Councillor Steve Clegg

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

Northamptonshire

Leaders:

  • Chair: Anu Singh
  • CEO: Toby Sanders
  • 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 Heather Kidd

Clustering with Staffordshire and Stoke-on-Trent ICB.

Staffordshire and Stoke-on-Trent

Leaders

  • Chair: Ian Green OBE
  • CEO: Simon Whitehouse
  • ICP Co-chair: Ian Green OBE (rotation of chairs)
  • ICP Co-chair: Councillor Jane Ashworth
  • ICP Co-chair: Councillor Martin Murray

Clustering with Shropshire, Telford and Wrekin ICB.

Humber and North Yorkshire

Leaders:

  • Chair: Jason Stamp
  • CEO: Teresa Fenech
  • ICP Chair: Jason Stamp

North East and North Cumbria

Leaders:

  • Chair: Professor Sir Liam Donaldson
  • CEO: Samantha Allen
  • ICP Area Co-chair: Councillor Kelly Chequer (North and Central)
  • ICP Area Co-chair: Councillor Lynne Caffrey (North and Central)
  • ICP Area Chair: Councillor Mark Fryer (North Cumbria)
  • ICP Area Chair: Vacant (Tees Valley)

South Yorkshire

Leaders:

  • Chair: Pearse Butler
  • Interim CEO: Christopher Edwards
  • ICP Chair: Oliver Coppard

West Yorkshire

Leaders:

  • Chair: Mark Chamberlain
  • CEO: Rob Webster
  • ICP Chair: Councillor Tim Swift

Cheshire and Merseyside

Leaders:

  • Interim Chair: Sir David Henshaw
  • Interim CEO: Liz Bishop
  • ICP Chair: Councillor Louise Gittins

Greater Manchester

Leaders:

  • Chair: Sir Richard Leese
  • Acting CEO: Professor Colin Scales
  • ICP Co-chair: Sir Richard Leese
  • ICP Co-chair: Andy Burnham

Lancashire and South Cumbria

Leaders:

  • Chair: Emma Woollet
  • CEO: Aaron Cummins
  • ICP Chair: Councillor Damien Talbot

Hampshire and Isle of Wight

Leaders:

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

Kent and Medway

Leaders:

  • Interim Chair: Angela McNab
  • CEO: Adam Doyle
  • ICP Chair: Vince Maple

Thames Valley

Leaders:

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

Surrey and Sussex

Leaders:

  • Chair: Ian Smith
  • CEO: Karen McDowell
  • ICP Chair: TBC

Bath and North East Somerset, Swindon and Wiltshire

Leaders:

  • Chair: Rob Whiteman
  • CEO: Jonathan Higman
  • 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 Co-chair: Councillor Jenna Ho Marris (rotation of chairs)
  • ICP Co-chair: Stephen Williams
  • ICP Co-chair: Councillor John O’Neill

Clustering with Gloucestershire ICB.

Cornwall and Isles of Scilly

Leaders:

  • Chair: John Govett
  • Interim CEO: Mark Hackett
  • ICP Co-chair: John Govett
  • ICP Co-chair: Councillor Linda Taylor

Clustering with Devon ICB.

Devon

Leaders:

  • Chair: John Govett
  • CEO: Steve Moore
  • ICP Co-chair: Councillor Mary Aspinall

Clustering with Cornwall and Isles of Scilly ICB.

Dorset

Leaders:

  • Chair: Rob Whiteman
  • CEO: Jonathan Higman
  • ICP Co-chair: Councillor Millie Earl
  • ICP Co-chair: Councillor Nick Ireland

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

Gloucestershire

Leaders:

  • Chair: Jeff Farrar
  • CEO: Shane Devlin
  • ICP Chair: Councillor Carole Allaway-Martin

Clustering with Bristol, North Somerset and South Gloucestershire ICB.

Somerset

Leaders:

  • Chair: Rob Whiteman
  • CEO: Jonathan Higman
  • ICP Chair: Councillor Bill Revans

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