“North East and North Cumbria Integrated Care System” (NENC ICS)

It is important that we, as people living in the region, continually liaise with the commissioners of healthcare – essential that commissioners are aware of the needs of residents, what is going well, what needs to be developed and, crucially, aware of our wishes about who provides it….

The new healthcare system, however, takes some navigating. Clinical Commissioning Groups (CCGs) no longer exist. Since July 2022, 42 “Integrated Care Systems” have been responsible for health commissioning across England. These “Integrated Care Systems” have a multi-layering of roles and functions and, as such, have a complexity of Boards and Committees. Below, on this page, is an overview of the System and contact points in the north of England, as we understand it. 


for our “Integrated Care System” page, which provides an analysis of the System, pro, cons, Campaigning and actions
In the north, health commissioning is now carried out by the “North East and North Cumbria Integrated Care System” (NENC ICS).  Within the NENC ICS there are three levels of operation / decision-making:
1 ⇒ North East and North Cumbria Integrated Care System (ICS) –  with Integrated Care Board – covers the whole of the ICS area (the largest ICS in England)
2 ⇒ The ICS is sub-divided into four Integrated Care Partnerships (ICPs) – North, Central, South and North Cumbria. These four ICPs meet independently in their localities. There is also a Strategic Integrated Care Partnership meeting and Board, which is made up of reps from the four areas – this Strategic ICP meets twice per year.
3 ⇒ Each of the four ICPs are further sub-divided into Place-based teams. These follow 14 local authority boundaries / the previous CCG areas. 

ICS Boundary-Maps-Oct-2019


>> Integrated Care System:

“The North East and North Cumbria Integrated Care System (ICS) is a partnership of organisations including local councils, voluntary and community services that provide health and care across our region. Led by the NHS Integrated Care Board (ICB) we are working collectively, joining up resources and expertise to provide the best health and care for our local communities”. NENC ICS website July 2022
“Our Integrated Care System is led by our NHS Integrated Care Board (ICB), a statutory organisation with responsibility for NHS budgets, functions and performance and an Integrated Care Partnership (ICP). It takes over the responsibilities currently held by the eight clinical commissioning groups in our region. Over time it will also take over some of the of the functions currently held by NHS England for the commissioning of primary care and acute services”. NENC ICS website July 2022
Contacts / Information for NENC ICS:
NENC ICS website: https://northeastnorthcumbria.nhs.uk
NENC ICS email: necsu.nenc-icb.contactus@nhs.net

>> Integrated Care Board

The NHS North East and North Cumbria Integrated Care Board (ICB) is the statutory decision-making body of the North East and North Cumbria Integrated Care System (ICS). The ICB is responsible for the commissioning of health services and the effective stewardship of NHS spending for all of the people who live in the North East and North Cumbria. The Board meets every two months.
The Integrated Care Board meetings are available to view live on Facebook and via the ICS website: https://northeastnorthcumbria.nhs.uk/       Members of the public can request to observe the Board in person by contacting Deborah Cornell, Board Secretary via email nencicb-sun.icbcorporateoffice@nhs.net
Submitting questions to the ICS Board: For questions to put to the Board re: items on the agenda, these are to be submitted in advance of the meeting by email to nencicb-sun.icbcorporateoffice@nhs.net at least three working days prior to the meeting. Where relevant, any questions will be addressed in the meeting and a written response will be sent directly to the individual who raised the question within 20 working days. 
The date and link to the next meeting, and links to the Minutes of previous meetings are here

>> Strategic Integrated Care Partnership:

The Integrated Care Partnership (ICP) is a committee comprising members of the ICB and the thirteen local authorities from across the North East and North Cumbria. This meets twice per year.  Information including the date and link to the forthcoming meeting, and links to the Minutes of previous meetings are here: https://northeastnorthcumbria.nhs.uk/integrated-care-partnership/
Meetings are recorded and available to watch at the same web address.
Members of the public can request to observe the Strategic ICP Board in person by emailing nencicb-sun.icbcorporateoffice@nhs.net
Submitting questions to the ICP Board: If you have any questions to put to the partnership relating to items on the agenda, we ask for these to be submitted in advance of the meeting by email to nencicb-sun.icbcorporateoffice@nhs.net at least three working days prior to the meeting. Where relevant, any questions will be addressed in the meeting and a written response will be sent directly to the individual who raised the question within 20 working days. 
The terms of reference and operational information relating to the ICP are here at page 124
Members of the Strategic Care Partnership Board are listed here

>> 4 Regional Integrated Care Partnerships:

“Four local Integrated Care Partnerships based around the main centres of population.
-North Cumbria ICP
-Central ICP (County Durham, Sunderland and South Tyneside)
-North ICP (Gateshead, Newcastle, North Tyneside, Northumberland)
-Tees Valley ICP (Darlington, Hartlepool, Middlesbrough, Redcar and Cleveland and Stockton-on-Tees)
These local ICPs will develop a strategic picture of health and care needs from their constituent local authority ‘places’ working with a wide range of partners including existing health and wellbeing boards. These provide a vital forum for the NHS, local councils and other partners to assess the needs of local people and set local priorities for health and care improvement”.    NENC ICS website July 2022


In a FOI request (February 2023), we requested the following information re Area ICPs:
> The location of the minutes of the Central and North Area ICP meetings
“Our Area ICPs have not yet met formally but their minutes will be available in future on the ICP pages of our website”
>  The arrangements for putting a question to a local ICP meeting
“Public questions can be submitted via – nencicb-sun.icbcorporateoffice@nhs.net to the Strategic ICP and can be shared with Area ICPs as appropriate”
> The names of people attending the Central and North Area ICP meetings
“The full details of the membership lists for all our Area ICPs can be located within the Strategic ICP and Area ICPs terms of reference available on the NHS ICB Website https://northeastnorthcumbria.nhs.uk/ .”

From NENC ICS website   (April 2023):
North Area ICP Chair – Councillor Lynne Caffrey
An experienced Chair of the Gateshead Health and Wellbeing Board for the last 8 years, and the Joint North East and North Cumbria Integrated Care System Overview and Scrutiny Committee, for the North and central areas, since its inception until October 2022.  Councillor Caffrey has served as a Councillor in Gateshead for 14 years for the Chopwell and Rowlands Gill Ward, a historic and scenic area.
Central Area ICP Chair: Councillor Kelly Chequer
For the last 5 years Councillor Chequer has worked as the Mental Health Nurse Consultant for the Mental Health Services at Gateshead Health FT. In addition to the NHS service, Cllr Chequer holds a senior strategic leadership position within the community.  A democratically elected Councillor at Sunderland City Council (since 2016), as a cabinet member for “Healthy City” which encompasses a large portfolio including Adult Social Care, Safeguarding Adults, Public Health, Domestic Abuse and VAWG, and chair of the Sunderland Health and Wellbeing Board.
Tees Valley Area ICP – Councillor Bob Cook
Councillor Robert (Bob) Cook has been the leader of Stockton-on-Tees Borough Council since 2011 and a serving Councillor for more than 35 years. In addition to his appointment as Leader of the Council, Councillor Cook is a Cabinet member on the Tees Valley Combined Authority (TVCA) with a portfolio for Education, Employment and Skills. The chair of the Education, Employment and Skills Advisory Panel for the TVCA which leads on the delivery of the Local Skills Improvement Plan and the UK Shared Prosperity Fund as well as other employment-based initiatives in the region. Councillor Cook is also the Group Leader of the local Labour Group.
North Cumbria Area ICP: Councillor Mark Fryer
Councillor Fryer is the leader of the new Cumberland Council. The council leader for Allerdale Borough Council on two occasions. The first time was between 1995 and 2003 and then for a further eight years between 2011 and 2019. Councillor Fryer has been both Leader and Deputy Leader on the council. On 5 May 2022, elected to the Cumberland Council seat of St John’s and Great Clifton ward in Workington. Involvement in political scene in Allerdale for most of his adult life

>> Place-based teams:

“As well as strategic functions, ICB staff also work at place level with local health and wellbeing boards in each of our 13 local authority areas. These teams also work alongside our 64 primary care networks which are groups of local GP practices, social care teams and other community-based area providers”.   NENC ICS website  July 2022