As we move towards the new financial year 2026/27 and significant changes to the way that the two Integrated Care Boards or ICBs operate at a Place and regional level across Cumbria.
There will be changes in both North Cumbria NHS area and South Cumbria NHS areas. The changes will be slightly different in each area and clearly geography will also impact on some of the changes.
Final decisions regarding these changes will be confirmed following government papers due out by the end of January/early February 2026
SOUTH CUMBRIA NHS area – NEW Operating Model for Lancashire & South Cumbria ICB (see attachments)
As we move towards the new financial year 2026/27 and significant changes to the way that Integrated Care Boards or ICBs operate at a Place and regional level Lancashire and South Cumbria ICB have produced the attached information to describe the NEW operating model.
There are two significant areas of interest and impact to the third sector:
- Changes to Place Based areas (currently South Cumbria is considered a Place)
- New commissioning models
Changes to Place Based area
It is very likely that there will be a shift from the current "place" footprints to the larger acute trust footprints (ie, for us, from South Cumbria Place to Morecambe Bay Place area).
New Commissioning models
It is likely that the larger regional ICB bodies Lancashire & South Cumbria will commission on an ‘outcomes’ level rather than local operational/service level.
There are discussions that indicate that local commissioning might be devolved to a Provider Collaborative model (in which case NHS trusts are likely to be the lead/accountable body) rather than being retained by staff within the ICB and local to and with a South Cumbria remit.
Both of these changes require guidance/approval from government to progress. This guidance is due to come out before February 2026.
NORTH CUMBRIA NHS area – NEW Operating Model for North East & North Cumbria ICB (see attachments)
As we move towards the new financial year 2026/27 and significant changes to the way that Integrated Care Boards or ICBs operate at a Place and regional level North East and North Cumbria ICB have produced the attached set of slides to describe some of the NEW operating model and how this might impact on their relationship with the VCSE.
There are 3 areas of interest and impact to the third sector:
- Some very vague information about contracts currently in place with VCSE providers (slide 2)
- New commissioning models –
- Changes to Place Based areas (currently North Cumbria is considered a Place it is looking likely that we will join the current North Place-Based area )
New commissioning models
There is less clarity in these slides but it is likely a Provider Collaborative will manage commissioning at place in the future (worth reading some of the NHS 10 Year Plan document to find out more)
Changes to Place Based area
Currently North Cumbria is considered a Place-Based area. It is looking likely that in the future we may become a part of the current North Place-Based area. North Place-Based area - corresponds to the North East Mayoral Combined Authority (MCA) area and the local authorities of County Durham, Gateshead, Newcastle, North Tyneside, Northumberland, Sunderland and South Tyneside)
Click here for Information about the future of the VCSE/ICB relationship, strategic commissioning and procurement. |