The final list of 70 specialised services delegated to local commissioners in England

On December 5, 2024, NHS England published a document specifying the next steps in delegating commissioning responsibilities for prescribed specialized services to local commissioners - integrated care boards (ICBs) initiated a few years ago. Historically, NHS England commissioned all prescribed specialized services. 

The final list of 70 specialized services delegated to ICBs is now published. Eleven services have been added to the 59 services that were delegated to ICBs across 3 out of 7 NHS regions since April 2024 (North West, Midlands, and East of England). From April 2025, the delegation will apply to all ICBs (n=42).

Although commissioning responsibility for all 70 services is being delegated to ICBs, commissioning accountability will continue to rest with NHS England. In this role, NHS England will continue to set consistent national standards, services specifications, and clinical commissioning policies; develop metrics and quality dashboards to support improvement, oversight, and assurance; and provide national clinical leadership, expert advice, and support to ICBs through our Clinical Reference Group infrastructure.

Approximately 100 specialized services, including all highly specialized services, will not be delegated to ICBs and will continue to be the direct commissioning responsibility and accountability of NHS England.

See the full details here and here.

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