16/06/2026
The NHS landscape is changing rapidly as Integrated Care Boards (ICBs) continue to merge across England,
While much of the discussion has focused on organisational restructuring and financial savings, there is a more important consideration in how do we ensure that people's voices remain heard as systems become larger and more complex?
At Imagineer, we see every day how difficult it can be for individuals, families and unpaid carers to navigate health and social care systems. As commissioning structures become bigger, the need for trusted, community-based organisations that can bridge the gap between people and services becomes even more important.
The NHS continues to place emphasis on prevention, reducing inequalities, personalised care and supporting people to live well in their communities. These are areas where the voluntary, community and social enterprise sector can make a significant contribution.
For organisations like Imagineer, the challenge is not simply to deliver good support, but to help systems understand what life looks like from the perspective of the people they serve.
As ICBs evolve, we hope to see continued investment in community-led approaches, advocacy, support brokerage, co-production and meaningful engagement with citizens and carers.
Large systems need strong community connections.
The future of integrated care will depend on both.