ICB cuts will make delivering transformation harder, leader warns

Matthew Taylor, chief executive of NHS Confederation, has warned plans to cut ICB running costs by 50% will make the task of delivering long-term transformation much harder.

Matthew Taylor (c) NHS Confederation

Matthew Taylor (c) NHS Confederation

The planned cuts were confirmed by NHSE chief financial officer and deputy chief executive, Julian Kelly, during evidence to the Public Accounts Committee yesterday.

Kelly, who is stepping down at the end of March, said he expected the detail of the plans to be published as the 10-Year Health Plan is finalised and said NHS redundancies would not be just about ‘duplication' with the DHSC but ‘will have to be a hard look at what functions are being done where'.

Responding Taylor said: ‘We understand the precarious state of the public finances and our members are prepared to do what is required. The short-term task is to stabilise NHS finances and do everything possible to reduce the NHS' deficit, and our members will work with the Government and NHS England to do that. But the reality is that these cuts will require major changes and they will inevitably make the task of delivering long-term transformation of the NHS much harder. 

‘The 10 Year Health Plan will set out the Government's future ambitions for the NHS, and the danger is that we go too far and leave little to no capacity to deliver this long-term transformation. Where possible we must find ways to support the long-term shifts that the Government itself, alongside our members, are committed to making.'

ROUNDTABLE: Remodelling public health through AI

ROUNDTABLE: Remodelling public health through AI

By Lee Peart 05 November 2026

In the first of our new series of roundtables on Redesigning Health, our specialist panel discusses how artificial intelligence and data have the potential t...

SPECIAL REPORT: Remodelling public health through AI

By Christopher Exeter 05 November 2026

The first in a series of roundtables that Healthcare Management is running on the theme of Redesigning Health discussed how the use of AI can support the rem...

Health sector celebrates 25 years of NHS LIFT programme

By Lee Peart 05 November 2026

Key partners from across the health sector have gathered at the House of Lords to celebrate the 25th anniversary of the NHS LIFT programme.


Popular articles by Lee Peart