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Combined Authorities and Integrated Care Boards

Asked by Max WilkinsonLiberal DemocratMinistry of Housing, Communities and Local GovernmentTabled Answered 4 November 2025UIN 85381

The question

To ask the Secretary of State for Housing, Communities and Local Government, what his Department’s policy is on the alignment of mayoral combined authority boundaries and integrated care board boundaries, in the context of (a) devolution and (b) NHS reorganisation.

Answered by Miatta Fahnbulleh

The English Devolution White Paper was clear that our long-term ambition is for public service boundaries, including those of health and strategic authorities, to align. We remain committed to this goal, and the 10 Year Health Plan sets out our aim that Integrated Care Boards (ICBs) should be coterminous with one or more strategic authorities wherever feasibly possible.

The Department of Health and Social Care will work closely with NHS England and the Ministry of Housing, Communities and Local Government to decide any further ICB mergers and boundary changes.

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