Financial discipline has been central to the integrated care board’s (ICB’s) improvement across the NHS this year. Chief Executive Dr Nick Broughton explains that in early 2024, the ICB was facing significant financial challenges and governance concerns, which prompted an NHS England investigation. Acknowledging the scale of the challenge, leaders worked collaboratively with other ICBs, developed a recovery plan with NHS England, and strengthened their leadership and financial management.

By autumn 2024, financial stability had been achieved, allowing the focus to shift towards equity and patient care. Key lessons from the experience included taking ownership of the problem, building a trusted leadership team, strengthening financial foundations, and working collaboratively across the system. The ICB is now focused on delivering value and improving its approach to commissioning.