22/05/2026
Your baseline year started in April. What you record now is what your ICB uses to hold you to account from 2027/28 onwards. The NHS Neighbourhood Health Framework sets a 90% same-day access target for clinically urgent patients by March 2027. That target is measured on recorded data from your clinical system, not on what you delivered clinically.Practices that are compliant but poorly coded will appear non-compliant.
That gap is fixable, but only if you act on it during 2026/27, the year you are already in. The framework also introduces Single Neighbourhood Providers as the new contract-holding entity at neighbourhood level. ICBs will decide which organisations hold those contracts. The evidence base they will look for is being built, or not, right now.
Full breakdown of the framework, the key deadlines, and what your practice needs to have in place is in the link in comments.