Under the terms of the NHS Act 2006 (as amended by the Health and Care Act 2022), NHS England is required to undertake an annual assessment of each ICB in respect of each financial year and publish a summary of these assessments.

NHS England has published the supporting guidance for the 2025/26 annual assessment of integrated care boards (ICBs). This year’s guidance sets out a streamlined, approach, reflecting the evolving role of ICBs and recent changes across the system. It provides details on the areas the annual assessment will cover, as well as information on timing and process, and is intended to support regional teams and ICBs in preparing for the 2025/26 assessment cycle.

All reports can reports can be found here: NHS England » Annual assessment of integrated care boards