Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the 50 per cent cut to Integrated Care Boards on Solihull Hospital.

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 work closely with the ICBs to ensure these changes do not compromise the quality of care or the statutory responsibilities of the ICBs, and to protect frontline staff from cuts. 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 information is 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 the ICBs, Sir Jim Mackay committed to greater transparency and to moving back to a fair shares allocation policy over time. Currently, the Birmingham and Solihull ICB is 3.4% off its fair shares allocation targets, which includes specialised commissioning.