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.