The NHS commissioning map is being redrawn once again. For those working to engage with the NHS, the challenge is not simply learning the new organisational topography, it is about evolving how you engage to stay part of the conversation.
The changes we’re seeing to healthcare commissioning in England are top to bottom: NHS England (NHSE) is being brought into the Department of Health and Social Care (DHSC); Offices for Pan-Integrated Care Board Commissioning (OPICs) are emerging as regional hubs for commissioning services at scale; Integrated Care Boards (ICBs) are evolving into strategic commissioners alongside clustering and reducing budgets by half; providers are being given greater autonomy; and greater focus and resources are being devolved to Place and Neighbourhood.
The result is not simply a new organisational chart. It is a shift in where decisions are made, how they are made and who is involved in making them. This is perhaps reinforced most clearly in the establishment of ‘No.10 North’ and a new prime minister focused on promoting the idea of Place.
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