After 33 years in the NHS — including a decade as a chief executive in the Black Country and four years leading the ICB — he is now looking for new opportunities to continue making a difference in health and care.

Axcell said: ‘As we move into the next chapter with the Birmingham, Black Country and Solihull cluster, I've taken the decision not to put myself forward for the CEO role.

'After 33 years in the NHS, this feels like the right moment to explore new ways I can contribute to leading health and care. I remain deeply proud of what we've achieved together and excited about the future for the region.'

Anu Singh, NHS Black County ICB chair, added: ‘Mark has provided outstanding leadership during a time of significant change, both locally and nationally. His dedication to collaboration, system working, and improving outcomes for our communities has had a lasting impact.'

Axcell will remain in post until a chief executive is appointed to cover the ICB cluster with Birmingham, the Black Country and Solihull.