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. Explore how new models of care can help meet people’s needs now and in the future. 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
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Strategic commissioning will be the central purpose of the icbs of the future
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.
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