NHS financial framework: integrated care board and system finance business rules

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This document sets out the integrated care board (ICB) and system finance business rules from 1 April 2023. This document should be read alongside the relevant NHS operational planning and contracting guidance.

NHS finance business rules from 2026/27 is available here: NHS finance business rules from 2026/27: guidance for integrated care boards and NHS trusts

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NHS financial framework: integrated care board and system finance business rules

NHS financial framework: integrated care board and system finance business rules

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Accessible content. Updated 30 January 2025.