Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department plans to produce an impact assessment of the planned 50% reduction in integrated care board running costs.

NHS England has asked the integrated care boards (ICBs) to act primarily as strategic commissioners of health and care services and to reduce the duplication of responsibilities within their structure to achieve a 50% cost reduction in their running cost allowance. NHS England provided additional guidance to ICBs, National Health Service trusts, and NHS foundation trusts on 1 April 2025, where ICBs were tasked with developing plans by the end of May setting out how they will manage their resources to deliver across their priorities.

NHS England will be working closely with the ICBs to support the development of these plans, ensuring that their implementation reduces duplication and supports patient care. Further details are available at the following link:

https://www.england.nhs.uk/long-read/working-together-in-2025-26-to-lay-the-foundations-for-reform/

In his letter to ICBs, Sir Jim Mackey committed to greater transparency and moving back to a fair shares allocation policy over time. The Department has not conducted an impact assessment of NHS decision to reduce ICB running costs.