2021-11-06 16:52

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NHS Broken Up Into 42 Integrated Care Systems - Full List

The current list of all of England's healthcare re-organised into 42 Integrated Care Systems is provided below.

Each of them will have a CEO with annual salaries of £250,000 to £270,000 and that is just for starters.

Each ICS will have an ICS Partnership Board and associated salaries yet to be determined by NHS England.

To date, the salaries alone of the ICS CEO's will cost the NHS £11,340,000

That is over £11 million less to spend in actual healthcare of patients within the newly formed and legislated for by the Health & Care Bill currently going through the committee stages in Parliament.

Here is the current list of ICS which may not be the same once the Health and Care Bill becomes law. Each of these can merger, be taken over by US Healthcare companies, or set themselves up as limited companies!

This is the final nail in the coffin of the NHS in England and removes it from the NHS structures and from NHS control.

  1. Bath and North East Somerset, Swindon and Wiltshire
  2. Bedfordshire, Luton and Milton Keynes
  3. Birmingham and Solihull
  4. Bristol, North Somerset and South Gloucestershire
  5. Buckinghamshire, Oxfordshire and Berkshire West
  6. Cambridgeshire and Peterborough
  7. Cheshire and Merseyside
  8. Cornwall and the Isles of Scilly
  9. Coventry and Warwickshire
  10. Derbyshire
  11. Devon
  12. Dorset
  13. Frimley
  14. Gloucestershire
  15. Greater Manchester 
  16. Hampshire and the Isle of Wight
  17. Herefordshire and Worcestershire
  18. Hertfordshire and West Essex
  19. Humber, Coast and Vale
  20. Kent and Medway
  21. Lancashire and South Cumbria
  22. Leicester, Leicestershire and Rutland
  23. Lincolnshire
  24. Mid and South Essex
  25. Norfolk and Waveney
  26. North Central London
  27. North East and North Cumbria
  28. North East London
  29. North West London
  30. Northamptonshire
  31. Nottingham and Nottinghamshire
  32. Shropshire and Telford and Wrekin
  33. Somerset
  34. South East London
  35. South West London
  36. South Yorkshire and Bassetlaw
  37. Staffordshire and Stoke on Trent
  38. Suffolk and North East Essex
  39. Surrey Heartlands
  40. Sussex 
  41. The Black Country and West Birmingham
  42. West Yorkshire and Harrogate

The NHS website explains the bare minimum of what Integrated Care Systems are about:

"The Health and Care Bill, currently going through Parliament, sets out plans to put ICSs on a statutory footing, empowering them to better join up health and care services, improve population health and reduce health inequalities.

The current proposals mean that each ICS would be led by an NHS Integrated Care Board (ICB), an organisation with responsibility NHS functions and budgets, and an Integrated Care Partnership (ICP), a statutory committee bringing together all system partners to produce a health and care strategy.

Subject to the views of Parliament, it is expected that these measures will come in to effect in April 2022."

However, this must be read in conjunction with the NHS Long Term Plan previously reported by Unionsafety and available from the E-Library here

The NHS Long Term Plan document goes into detail about flexible working of clinical staff between hospitals and clinics in each separate ICS, local pay rates for staff which dismisses national pay rates, and allows for the private sector to be on both ICS Boards and ICS Partnership Boards!

Currently Virgincare sits on at least one ICS Board - Bristol, and a partnership organisation with University of North Carolina Health - The Northern Care Alliance run by Salford Royal NHS Foundation controls and runs services in Greater Manchester and Merseyside and Cheshire!

Now the Northern Care Alliance is at the centre of a controversy about an “unfair” tender process in which NHS England is withdrawing specialist surgery for intestinal failure from multiple hospitals, including those in Cheshire and Merseyside.

The Health and Care Bill itself is not the determining factor as to what ICS are all about: that is detailed in the NHS Long Term Plan, which provides the detail of the aim of privatisation of healthcare in this country; but worded in such a way that this ultimate aim is vague.

This is what the NHS England website says on the CEO job application form about the CEO of the ICS Board's role.

It needs to be read very carefully:


Integrated care systems (ICSs) are partnerships of health and care organisations that come together to plan and deliver joined up services and to improve the health of people who live and work in their area. They exist to improve outcomes in population health and healthcare; tackle inequalities in patient outcomes, experience and access; enhance productivity and value for money and support broader social and economic development in their area.

As CEO of the ICS’s Integrated Care Board (ICB) you will work with your colleagues, your community and your partners to deliver a long-term strategy to achieve this. 

There are now 42 ICSs covering the whole of England, each serving between 500,000 and three million people. Each ICB will hold a substantial budget for commissioning high quality patient care and the authority to establish performance arrangements to ensure this is delivered.


With the NHS calved up into 42 autonomous ICS with their own budgets, management boards and constitutions, and with full involvement of private healthcare companies in the UK and the US; the end of the NHS as a national body providing regulated and national healthcare as in the 1948 Act, will be completed in April 2022.

Private healthcare insurance across all ICS will be the next step and a two tier healthcare system mirroring the US system will be born!

Source: HSJ / NHS / Unionsafety 

See also: NHS Privatisation News Archive

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