Integrated care system boundary changes and mergers procedure

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This page contains guidance describing the processes applicable when making changes to integrated care board (ICB) and integrated care system (ICS) boundaries in specific circumstances.

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Summary

This guidance supports implementation of proposed NHS England-led ICB mergers and boundary changes to take effect on 1 April 2026 and 1 April 2027.

Accessible content. Published 23 September 2025.

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Summary

This procedure outlines the factors to be considered in any ICB-led proposed change to ICB and ICS boundaries, the application process to be followed and the implementation steps should an application be approved by NHS England.

Accessible content. Published 11 October 2023.