Integrated care in your area

Integrated Care Systems and Integrated Care Boards in England

The Health and Care Act 2022 provides for the establishment of Integrated Care Boards (ICBs) across England, as part of the Act’s provisions for Integrated Care Systems (ICSs). NHS England proposes to establish 42 ICBs on a statutory basis on 1 July 2022.

ICSs are partnerships of NHS bodies and local authorities, working with other relevant local organisations, that come together to plan and deliver joined up health and care services to improve the lives of people in their area.

Each ICS will have an ICB which is a statutory NHS organisation responsible for developing a plan in collaboration with NHS trusts/foundation trusts and other system partners for meeting the health needs of the population, managing the NHS budget and arranging for the provision of health services in the defined area.

When ICBs are legally established, clinical commissioning groups (CCGs) will be abolished, as provided for in the Act.

The ICBs will be established by an order made by NHS England under new section 14Z25 of the NHS Act 2006. The order will specify the name and area of each ICB, which are also to be included in each ICB’s constitution.  The statutory process for establishment requires NHS England to first publish a list of ICB areas (see section new 14Z26(1)).  The CCG(s) for those areas will then formally submit a proposed constitution for the ICB (systems have been working on these for some time, in accordance with NHS England’s guidance).

A table has been produced which sets out the statutory list of areas and the accompanying map shows the areas covered by the 42 ICBs (and ICSs) across England.