22/04/2026
With ICB restructuring now well underway, it's worth revisiting what the Model ICB Blueprint set out to achieve and how much of it is taking shape.
At the time of its release, the blueprint signalled a clear move away from performance management and transactional oversight, towards strategic commissioning focused on population health, prevention and tackling health inequalities. Functions like workforce planning, primary care operations and digital leadership were earmarked for transfer to neighbourhood providers, and the number of ICBs is expected to reduce from 42 to around 25.
Alongside the structural changes, ICBs and local authorities were asked to co-develop neighbourhood health models built around six components: population health management, modern general practice, standardised community health services, integrated multidisciplinary teams, Home First intermediate care, and urgent neighbourhood services.
As systems continue to implement these changes, the blueprint remains a useful reference point for understanding the direction of travel for commissioning, funding and service delivery.
We summarised the key proposals when they were published. Worth a read if you want the full picture.
Read more: https://ow.ly/jp2650YmPSN