NHS England and ICB Reforms
On 13 March 2025, the Secretary of State for Health and Social Care (Wes Streeting) announced that NHS England will be gradually integrated into the Department of Health and Social Care (DHSC) over the next two years. The aim is to simplify governance structures, reduce duplication, and deliver cost savings across the system.
As part of this wider reform, Integrated Care Boards (ICBs) are expected to reduce running costs by 50% and refocus on their role as strategic commissioners. This shift strongly emphasises prevention, neighbourhood-based care, tackling health inequalities, and building more integrated pathways.
Key Changes for ICBs Include:
- Reducing operational functions such as performance management and communications where duplication exists
- Developing localised plans to meet national cost targets based on population
- Strengthening capabilities in data analysis, care pathway redesign, and community engagement
- Streamlining governance and corporate services
These changes are aligned with the new national ICB blueprint, released last week, which supports a more integrated and preventative model of health and care.
Opportunities and Considerations for the Voluntary & Community Sector
The evolving role of ICBs presents opportunities for the VCS to contribute to planning and delivery, particularly at neighbourhood and place levels. There is a clear emphasis on:
- Co-designing services in partnership with local communities
- Offering community-based, preventative models of care
- Demonstrating the impact and value of VCS contributions to health outcomes
However, the current climate also presents challenges. With structural changes and potential changes in commissioned services, VCSE organisations may face uncertainty. It is important to ensure that the sector’s role is not seen as filling short-term gaps, but as a strategic partner in system transformation. ICBs will be expected to take a systematic approach to user involvement, ensuring that seldom-heard voices are included from the earliest stages of planning. This is a space where VCSE organisations are well-positioned to lead and support.
Next Steps for the Dorset VCSE Sector
While the long-term model is still taking shape, local VCSE partners are advised to:
- Stay engaged with emerging regional developments – follow DVCSA News Updates
- Continue to build strong relationships with ICB colleagues
- Prepare to demonstrate impact and added value
- DVCSA will continue to Advocate for inclusive, community-led approaches to commissioning
To view the full ICB blueprint, visit our resource page