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Committee Material Published 19 Nov 2025 ↗ View on Parliament

We are concerned that the Department for Health and Social Care and NHS England are still announcing major reforms without either delivery plans or secured funding. We do not accept that it is prudent to make a major change, such as the structural changes that are being made to Integrated Care Boards (ICBs) and NHS England without ensuring there is funding in place to pay for the changes, and without conducting an impact assessment or taking other steps to safeguard value for money. These cha...

We are concerned that the Department for Health and Social Care and NHS England are still announcing major reforms without either delivery plans or secured funding. We do not accept that it is prudent to make a major change, such as the structural changes that are being made to Integrated Care Boards (ICBs) and NHS England without ensuring there is funding in place to pay for the changes, and without conducting an impact assessment or taking other steps to safeguard value for money. These changes, especially the planned cuts to ICBs, could have a significant negative impact on patients and on the healthcare workforce through the level of unce Type: conclusion | Number: 6 | Response status: accepted Government response: The government agrees with the Committee’s recommendation. Recommendation implemented ICBs are designing their new staffing structures – within the £19 per weighted head of population served – so that they can deliver the ambitions of the 10 Year Health Plan. Central t