Buckinghamshire, Oxfordshire & Berkshire West Integrated Care System

In our area the ICS covers Buckinghamshire, Oxfordshire and Berkshire West; otherwise referred to as BOB. 

The BOB ICS covers a population of 1.8 million, three Clinical Commissioning Groups (CCGs) including Oxfordshire CCG, six NHS Trusts and 14 local authorities and 166 GP practices, working together as 45 Primary Care Networks.

For more information about Integrated Care Systems see the NHS England information booklet.


The Future Arrangements for NHS Commissioning in Our Area

The first stage of engagement on future NHS commissioning arrangements in Buckinghamshire Oxfordshire and Berkshire West has closed.

 Views were invited on three proposals:

  • The delivery of more joined up and integrated health and care through three, locally focussed Integrated Care Partnerships (ICPs) – alliances of NHS and Local Government organisations working together to plan and deliver care through a joint approach
  • The streamlining of commissioning arrangements through a single Clinical Commissioning Group (CCG) – a more strategic organisation to support ICPs and also commission services at scale as appropriate, such as NHS 111 or specialised services
  • Changes to the current CCG management arrangements to create a single Accountable Officer and ICS Executive Lead role, supported by a shared management team working across the Buckinghamshire Oxfordshire and Berkshire West CCGs

The three CCGs within the BOB Integrated Care System ran an engagement exercise from 10 October to 1 December 2019 with a broad range of stakeholders, including patients and the public, to understand the extent of views on these proposed changes.

Feedback was considered by CCG and ICS leaders to inform recommendations to CCG Governing Bodies about a single Accountable Officer/ICS Lead and associated supporting management structure. A full engagement report is available to view here

Next steps regarding any proposals about a single CCG will be considered by Governing Bodies in early 2020. Any proposals for future CCG configuration would be subject to consultation with CCG members later in 2020,  in line with NHS England/NHS Improvement guidance.

The proposal document is available here.

Whatever commissioning arrangements are put in place in the future, our priority is making sure local needs are addressed, that we provide people with access to quality healthcare and that we reduce the health inequalities that exist today.

We have a responsibility to make sure valuable resources are used wisely and in the best way to support people in living longer, happier, healthier and more independently into their old age.

Over the past year, we have been exploring how our organisations can work more effectively to meet our shared ambition. This work, along with the publication of the NHS Long Term Plan (LTP), has helped to shape our thinking about what any future arrangements could look like.


Development of the BOB ICS Five Year Plan

On 9 September, the BOB ICS published an interim report on the development of its five year plan. 

We would welcome your views on our priorities. Whilst the deadline (18 October) for feedback for this iteration of the BOB Five Year plan has passed. If you would like to give your feedback, we will ensure it is passed on and considered wherever possible as the plan develops.  Please email: OCCG.media-team@nhs.net  

The report Improving Health and Care in Buckinghamshire Oxfordshire and Berkshire West describes the range of organisations involved in the BOB ICS, how they work together and how they are developing their priorities and plans for the next five years.

The BOB ICS five year, one system plan will set out how all ICS partners will work together locally and together at scale to meet the current and future health and care needs of the communities they serve.

It describes how the BOB ICS will deliver the requirements of NHS Long Term Plan (www.longtermplan.nhs.uk) and address BOB ICS’s specific priorities.

Timeline for next steps

1st November

Final technical submission sent to NHS England/NHS Improvement

End of November

Final plan published, following review by NHS England/ NHS Improvement 


Continued engagement with communities and stakeholders