Health On The Line How future ICBs will affect primary and secondary care
May 29, 2025
Rory Deighton, Director of the NHS Confederation’s acute network, and Ruth Rankine, Director of the primary care network, delve into the transformative landscape of Integrated Care Boards (ICBs) in the NHS. They discuss how budget cuts could shift investments towards primary and community services, emphasizing the need for collaboration amid financial challenges. The guests highlight opportunities to enhance patient outcomes through multidisciplinary partnerships and innovative care models, all while exploring the critical need for evidence-based community engagement.
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Acute Leaders Embrace Simplicity
- Acute leaders appreciate the simplified NHS operating model and clearer leadership.
- They worry about the pace of change and unclear responsibilities shifting from ICBs to providers.
Primary Care's Cautious Optimism
- Primary care is cautiously optimistic about the reforms and wants stronger roles at place levels.
- They see opportunities to shift investment into primary and community services for better care.
Demand Management and Accountability
- Providers accept clear accountability and targets for elective recovery but struggle with demand growth.
- ICBs play a critical role managing demand and the interface between primary and secondary care.