NHS Hampshire and Isle of Wight Integrated Care Board

NHS Hampshire and Isle of Wight Integrated Care Board
Name	NHS Hampshire and Isle of Wight Integrated Care Board
Formation	2022
Type	Integrated care board
Region served	Hampshire and Isle of Wight
Leader title	Chair
Leader title2	Chief Executive

NHS Hampshire and Isle of Wight Integrated Care Board is the statutory body responsible for planning and commissioning most NHS services across Hampshire and the Isle of Wight. It succeeded predecessor bodies during the 2022 reconfiguration of health structures in England and works across a diverse area from Portsmouth to Southampton and the Isle of Wight. The board coordinates health strategy with local authorities, acute trusts, mental health providers, ambulance services and primary care networks.

History and formation

The board was established as part of the NHS-wide reforms set out in the Health and Social Care Act and later implementation processes under ministers in the Department of Health and Social Care, succeeding arrangements used by Clinical commissioning groups including those in Hampshire, Isle of Wight, Portsmouth and Southampton. Its creation followed national policy direction from figures such as Matt Hancock and Therese Coffey and the organisational changes overseen by the NHS England executive and Sir Simon Stevens’s reforms. The transition aimed to implement recommendations from inquiries into integrated care, building on models trialled in areas like Devon and Greater Manchester, and influenced by joint working exemplars such as Torbay and Newcastle upon Tyne Hospitals NHS Foundation Trust.

Governance and leadership

Governance is constituted by an appointed chair, non-executive directors, executive directors and an accountable officer, operating under statutory duties defined by NHS Act 2006 as amended and guidance from NHS England. Senior leadership works with nationally recognised figures and institutions including chairs formerly associated with organisations like University Hospital Southampton NHS Foundation Trust and executives with experience from Bournemouth and Poole health services. The board reports to NHS England regional teams and liaises with ministers in the Department of Health and Social Care. Local scrutiny involves council leaders from Hampshire County Council, Isle of Wight Council, Portsmouth City Council and Southampton City Council alongside Health and Wellbeing Boards that include members from authorities such as Eastleigh and Fareham.

Geographic area and population served

The board covers a diverse geographic footprint including urban centres such as Southampton and Portsmouth, suburban boroughs like Gosport and Havant, and rural districts including New Forest and Test Valley, together with the island community of Isle of Wight. The population served spans demographic groups from students linked with institutions like the University of Southampton and the University of Portsmouth to older cohorts concentrated in coastal areas such as Bognor Regis catchments, with population planning informed by data sources including Office for National Statistics outputs and joint strategic needs assessments produced with local authorities.

Services and commissioning responsibilities

The board commissions a wide range of services including planned care provided by trusts such as Portsmouth Hospitals University NHS Trust and University Hospital Southampton NHS Foundation Trust, urgent and emergency care delivered with South Central Ambulance Service, and community services historically run by providers including Solent NHS Trust and Southern Health NHS Foundation Trust. Mental health commissioning interfaces with providers such as Sarum-area services and national bodies like NHS England specialised commissioning teams. Primary care contracts cover general practices within Primary care networks and work with federations linked to organisations like Healthwatch and voluntary sector partners including Age UK branches. The board also commissions screening and immunisation programmes coordinated with Public Health England legacy arrangements and public health teams in local authorities.

Partnerships and integration with local authorities and providers

Integrated commissioning and strategic planning are pursued through partnerships with councils including Hampshire County Council and Isle of Wight Council, and with acute and community trusts such as University Hospital Southampton NHS Foundation Trust, Portsmouth Hospitals University NHS Trust, Southern Health NHS Foundation Trust and independent sector providers including Spire Healthcare. Collaborative arrangements include Sustainability and Transformation Partnership-style working and arrangements similar to those seen in Integrated care systems elsewhere, aligning with frameworks promoted by NHS England and informed by case studies from areas like Cambridgeshire and Peterborough and Merseyside. The board engages with social care commissioners, voluntary organisations like Citizens Advice, and regional bodies such as the Solent Local Enterprise Partnership for workforce and estate planning.

Performance, outcomes and finances

Performance monitoring references national metrics used by NHS England including waiting times for elective care, A&E performance for emergency departments at trusts like University Hospital Southampton, and targets for cancer and stroke pathways overseen by specialised networks. Financial management reflects pressures common across NHS systems, with budgeting and control totals set in negotiation with NHS England and fiscal scrutiny by local authorities and auditors such as the National Audit Office. Outcome improvement programmes target reductions in health inequalities identified in Joint Strategic Needs Assessments and align with national priorities promoted by ministers and regulators including Care Quality Commission. Financial and performance challenges are addressed through service redesign, efficiency programmes, and cross-organisational initiatives drawing on best practice from NHS systems including Buckinghamshire, Oxfordshire and Berkshire West and Greater Manchester Integrated Care arrangements.

Category:Integrated Care Boards