To ask Her Majesty's Government what assessment they have made of (1) the challenges of the transition from Clinical Care Commissioning Groups to Integrated Care Boards, and (2) the risk of established ways of working being recreated within the new structures.

NHS England led a transition programme to design integrated care boards (ICBs) and support the transfer of staff, property and liabilities from clinical commissioning groups (CCGs). Through joint planning and progress monitoring between NHS England and the Department, all 42 ICBs were legally established and no significant transition issues reported.

Whilst CCG functions have been conferred to ICBs and some continuity will remain where appropriate, ICBs are designed to work differently from CCGs. ICBs have new duties under the Health and Care Act 2022. This includes wider and more integrated care pathways, accelerated work on prevention and the determinants of health, new leadership in the National Health Service and new governance arrangements. The new ICB geographies will adopt new ways of working to ensure that the needs of local populations are responded to.