Bristol, North Somerset and South Gloucestershire ICB

What Bristol, North Somerset and South Gloucestershire ICB does

Bristol, North Somerset and South Gloucestershire Integrated Care Board (BNSSG ICB) is a statutory NHS body established on 1 July 2022 under the Health and Care Act 2022, responsible for planning and commissioning healthcare services for the combined population of Bristol, North Somerset, and South Gloucestershire in South West England. It replaced the predecessor Bristol, North Somerset and South Gloucestershire Clinical Commissioning Group and operates as part of the Healthier Together Integrated Care System. The ICB commissions hospital care, community health, mental health, learning disability, and primary care services through contractual arrangements with NHS trusts, local authorities, GP federations, and voluntary sector partners; from 1 April 2026 it shares a joint Chair, CEO, and executive team with NHS Gloucestershire ICB under a formal cluster arrangement.

The ICB's core product surface includes NHS Continuing Healthcare funding, Personal Health Budgets, the Autism and Learning Disability Keyworker Service, Care and (Education) Treatment Reviews, and safeguarding services. Supporting clinical tools include REMEDY (a pathway and referral support tool housing the BNSSG Joint Formulary for adults and children), Primary Secondary Care Interface Guidance, a Datix-based Clinical Reporting Tool, My Joint Health Hub patient resources, and a Commissioning Policy Directory covering Interventions Not Normally Funded (INNF) and Exceptional Funding Requests. Underlying technology comprises NHS Digital infrastructure, population health management systems, and data-sharing arrangements with partner NHS organizations.

The ICB is funded through annual NHS England allocations rather than direct patient charges; services are free at the point of use under the NHS. The go-to-market model is public-sector commissioning: contracts with provider trusts, partnerships with three local authorities (Bristol City Council, North Somerset Council, South Gloucestershire Council), and Board-level engagement with One Care GP Federation, the VCSE Alliance, and the Care Forum. Headcount is approximately 241, with leadership headed by Chief Executive Shane Devlin and Chair Dr. Jeff Farrar; the governance structure includes partner members from each major provider trust, local authority, and primary care body on the Board.

Name

Bristol, North Somerset and South Gloucestershire ICB

Legal name

Bristol, North Somerset and South Gloucestershire Integrated Care Board

Website

https://bnssg.icb.nhs.uk

Company type

Private

Founded year

2022

Operating status

Operating

Headcount range

101–250 employees

Short description

BNSSG ICB is a statutory NHS Integrated Care Board that plans and commissions healthcare services for the Bristol, North Somerset, and South Gloucestershire population under the Health and Care Act 2022. From April 2026 it operates in a cluster with NHS Gloucestershire ICB, sharing a joint Chair and CEO.

Ownership category

akta.pro rank

Product category

Public Healthcare Commissioning

NAICS

Public Administration (92)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

akta.pro secondary industry

Health Research Funding Agencies (Public/Quasi-Public) (HLAJALAB)

Keywords

• NHS commissioning services
• Integrated care board
• Continuing healthcare
• Population health management
• Personal health budgets

Headquarters

HQ city

Bristol

HQ country

United Kingdom

HQ region

Europe

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D

Revenue model

1. NHS Core Funding: The ICB receives annual budget allocation from NHS England to plan and commission healthcare services for the BNSSG population. The organization is responsible for NHS planning and allocation decisions, distributing funds to NHS providers, local authorities, and voluntary sector partners for healthcare delivery.
2. Healthcare Commissioning: The ICB commissions a range of NHS services including hospital care, community health services, mental health services, learning disability services, and primary care (GPs, pharmacists, dentists) through contractual arrangements with provider organizations.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels10 records

Core offering

The ICB is an NHS statutory body that plans, allocates budget and commissions NHS healthcare services for the population of Bristol, North Somerset and South Gloucestershire. It funds and contracts hospital, community health, mental health, learning disability and primary care services from NHS providers, local authorities and voluntary sector partners, and directly operates named programmes such as NHS Continuing Healthcare, Personal Health Budgets, the Autism and Learning Disability Keyworker Service, and Care and Treatment Reviews. It also publishes clinical guidance and referral tools (including REMEDY) used by GPs across the area.

Product overview

Bristol, North Somerset and South Gloucestershire ICB is an NHS statutory organization responsible for the day-to-day running of NHS services in the local area. The organization operates as a platform of interconnected healthcare commissioning and delivery services rather than a single product. Core services include NHS Continuing Healthcare funding, Personal Health Budgets, Autism and Learning Disability Keyworker support, and Care and Treatment Reviews. Supporting these are clinical tools including REMEDY (pathway and referral support), a Clinical Reporting Tool for quality monitoring, and Primary Secondary Care Interface Guidance. The ICB also provides Research and Evidence support, Safeguarding services, and maintains a Commissioning Policy Directory. The organization operates in a formal cluster arrangement with NHS Gloucestershire ICB.

Differentiator

Problem solved

Functional benefit

Products and services

• NHS Continuing Healthcare A package of care arranged and funded solely by the NHS for individuals who are not in hospital but who have on-going complex, intense, or unpredictable healthcare needs. The ICB funds care required to meet identified care needs.
• Personal Health Budgets (PHB) Planned and agreed budgets between individuals and their local NHS team, with a care and support plan setting out health and wellbeing outcomes and how the budget will be spent to meet healthcare needs, giving more choice and control over care.
• Autism and Learning Disability Keyworker Service Keyworkers act as a single point of contact for children and young people with learning disabilities or autistic people identified as high need on the Dynamic Support Register, helping them and their families navigate and identify services they are entitled to.
• Care, (Education) and Treatment Reviews Reviews ensuring adults and young people with learning disabilities or autistic people do not spend time in hospital unnecessarily, supporting community-based care instead of inpatient admission.
• REMEDY Pathway and Referral Support Tool A Pathway and Referral Support Tool providing quick and easy access to clinical pathways and guidelines for GPs across Bristol, North Somerset and South Gloucestershire, also holding the BNSSG Joint Formulary for Adults and Children.
• Research and Evidence Support Support from the ICB Research Team for high-quality research from early idea development to embedding evidence into practice, including co-development with under-served communities through the Research Engagement Network and GP Deep End Network.
• Safeguarding Services Safeguarding information and support for children and adults at risk, including reporting procedures, training resources and statutory safeguarding reviews including the Child Death Overview Process.
• Commissioning Policy Directory A searchable directory of commissioning policies covering Interventions Not Normally Funded (INNF), Exceptional Funding Requests and Joint Formularies for medicines optimisation across BNSSG.
• My Joint Health Hub A local website with general information about conditions affecting muscles, bones and joints (musculoskeletal system), approved by local healthcare professionals for the BNSSG area.

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

18 partnerships are on record, tiered core, key and supporting.

• NHS Gloucestershire ICBcoreStrategic or Co-development Partner · 1 April 2026Formal cluster arrangement established 1 April 2026. Operating as a Joint Cluster Board with joint Chair (Jeff Farrar), joint Chief Executive (Shane Devlin), shared Executive team and Non-Executive Directors. Both ICBs maintain their own Boards for governance and decision-making.
• Avon and Wiltshire Mental Health Partnership NHS TrustcoreStrategic or Co-development Partner · 1 July 2022NHS Trust providing mental health services. The Chief Executive serves as a partner member on the ICB Board. Part of the cluster arrangement with NHS Gloucestershire ICB.
• North Bristol NHS TrustcoreStrategic or Co-development Partner · 1 July 2022NHS Trust providing hospital services in North Bristol. The Joint Chief Executive with UHBW serves as a partner member on the ICB Board.
• University Hospitals Bristol and Weston NHS Foundation TrustcoreStrategic or Co-development Partner · 1 July 2022Major NHS Foundation Trust providing hospital services. The Joint Chief Executive with NBT serves as a partner member on the ICB Board.
• South Western Ambulance Service NHS Foundation TrustcoreStrategic or Co-development Partner · 1 July 2022Ambulance service serving the South West region. The Chief Executive serves as a partner member on the ICB Board.
• Bristol City CouncilcoreStrategic or Co-development Partner · 1 July 2022Local authority for Bristol. The Chief Executive serves as a partner member on the ICB Board.
• North Somerset CouncilcoreStrategic or Co-development Partner · 1 July 2022Local authority for North Somerset. The Chief Executive serves as a partner member on the ICB Board.
• South Gloucestershire CouncilcoreStrategic or Co-development Partner · 1 July 2022Local authority for South Gloucestershire. The Chief Executive serves as a partner member on the ICB Board.
• One Care (GP Federation)coreStrategic or Co-development Partner · 1 July 2022Local GP Federation representing primary care. The Chief Executive Officer attends ICB Board as a participant. Involved in Primary Care commissioning and Direct Commissioning delegation.
• VCSE AlliancecoreStrategic or Co-development Partner · 1 July 2022Voluntary, Community and Social Enterprise Alliance representing the third sector. A representative attends ICB Board as a participant.
• The Care ForumcoreStrategic or Co-development Partner · 1 July 2022Health and social care charity. The Chief Executive attends ICB Board as a participant.
• Sirona care & healthcoreStrategic or Co-development Partner · 1 July 2022Community interest company providing community health and care services. The Chief Executive serves as a partner member on the ICB Board.
• NHS EnglandcoreStrategic or Co-development Partner · 1 July 2022National NHS body with representatives (Mark Cooke, Richard Smale) attending ICB Board as participants. Oversees ICB governance and funding.
• University of BristolkeyStrategic or Co-development PartnerAcademic partner. The ICB Research Team works closely with the university enabling alignment of research activity with NHS priorities and challenges.
• University of the West of England (UWE Bristol)keyStrategic or Co-development PartnerAcademic partner. The ICB Research Team works closely with UWE enabling alignment of research activity with NHS priorities. Vice-Chancellor Steve West is also Non-Executive Director on ICB Board.
• Research Engagement NetworksupportingStrategic or Co-development PartnerNetwork supporting co-development of research with under-served communities in partnership with Bristol Health Partners.
• GP Deep End NetworksupportingStrategic or Co-development PartnerNetwork supporting research co-development with under-served communities, hosted by University of Bristol.
• West of England Academic Health Science NetworkkeyStrategic or Co-development PartnerAHSN working to accelerate health innovation. Steve West, ICB Non-Executive Director, serves as Chair of the West of England AHSN.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• NHS England: National NHS body that oversees and funds BNSSG ICB, sets the commissioning framework, and holds performance oversight. Provides the parent governance and policy direction under which all ICBs operate, including BNSSG.

Direct peers

• NHS Devon ICB: Large NHS Integrated Care Board in the South West with the same statutory commissioning responsibilities for hospital, mental health, community, and primary care services. Operates One Devon Integrated Care System under the same national NHS framework as BNSSG ICB.
• NHS Bath and North East Somerset, Swindon and Wiltshire ICB: Neighbouring NHS Integrated Care Board in the South West region with the same statutory commissioning role, similar population scale, and integrated care system model. Operates with NHS providers, local authorities, and primary care in the same way as BNSSG ICB.
• NHS Gloucestershire ICB: Neighbouring NHS Integrated Care Board and formal cluster partner with BNSSG ICB from April 2026, sharing a joint Chair, Chief Executive, and executive team. Operates the same statutory commissioning function under the Health and Care Act 2022, serving the Gloucestershire population.
• NHS Cornwall and Isles of Scilly ICB: South West NHS Integrated Care Board with the same statutory commissioning mandate under the Health and Care Act 2022, serving a geographically dispersed population. Operates comparable governance, partnership, and provider commissioning arrangements as BNSSG ICB.
• NHS Dorset ICB: Neighbouring NHS Integrated Care Board in the South West with the same statutory commissioning function and integrated care system model. Coordinates NHS planning, budget allocation, and provider contracts for the Dorset population in a manner directly comparable to BNSSG ICB.
• NHS Somerset ICB: South West NHS Integrated Care Board with an identical statutory mandate, established under the Health and Care Act 2022. Commissions hospital, mental health, community, and primary care services for the Somerset population through comparable contractual and partnership arrangements.
• NHS Herefordshire and Worcestershire ICB: NHS Integrated Care Board with the same statutory commissioning role, operating under the Health and Care Act 2022 framework. Commissions acute, mental health, community, and primary care services across two counties through comparable ICS arrangements.

Others

• Bristol City Council: Partner member on the BNSSG ICB Board and local authority for Bristol. Coordinates social care, public health, and broader local government services that interface with NHS commissioning, making it a closely linked ecosystem partner rather than a direct commissioning peer.
• North Bristol NHS Trust: Major NHS acute provider commissioned by BNSSG ICB to deliver hospital services. Partner member on the ICB Board and one of the primary receivers of ICB funding, making it a key downstream provider rather than a direct commissioning peer.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/BNSSG_ICB
• YouTubeyoutube.com/@BNSSG_ICB
• Facebookfacebook.com/BNSSGICB
• LinkedInlinkedin.com/company/nhs-bristol-north-somerset-south-gloucestershire-icb
• Instagraminstagram.com/bnssg_icb

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Bristol, North Somerset and South Gloucestershire ICB