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Direct commissioning update

markpcc
MarkPCC 3 March 2026

NHS England has outlined plans to transfer its direct commissioning functions to integrated care boards (ICBs) from April 2027, subject to legislative approval. The letter outlines the leadership role expected from ICBs during 2026/27 and outlines details of seven offices for pan‑ICB commissioning which will help commission services efficiently and at scale. Services are:

  • Vaccinations, child health information and almost all components of screening services
  • Health and justice services and sexual assault and abuse services, including sexual assault referral centres
  • Specified specialist services, including all previously delegated services and a small number of additional services identified as suitable
  • Primary care services, including all previously delegated services
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