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Home publications report the state of integrated care systems 2024/25 According to a draft of the plan seen by hsj, the strongest existing foundation trusts (fts) will be allowed to become integrated health organisations. these ihos will be given the significant responsibility of managing the entire healthcare budget for a designated local population. Emerging evidence shows the shift to integration and collaboration in local systems is facilitating a move towards a more proactive and psychosocial model of health and care.

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Nhs england » strategic commissioning frameworkforeword the model icb blueprint establishes a shared vision for integrated care boards (icbs) by setting out the direction of travel for their role and functions Explore how new models of care can help meet people’s needs now and in the future. Strategic commissioning will be the central purpose of the icbs of the future

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The 10 year health plan promised a new commissioning framework for icbs to turn this ambition into.

On 1 april, we wrote to integrated care board (icb) and provider leaders outlining how we will work together in 2025/26 to deliver our core priorities and lay the foundations for reform. Improve access to transformed models of mental health care for adults, perinatal, and children and young people in 2024/25, nhs england began work to develop and provide a nationally led improvement support offer to help local systems improve access to community mental health services for children and young people. On 4 november 2025 nhs england (nhse) published the strategic commissioning framework, which aims to support all integrated care boards (icbs) to adopt a strategic commissioning approach from april 2026 The document sets out the principles of strategic commissioning, clarifies expectations of icbs as the commissioners of most nhs services, and situates the approach within the emerging nhs.