- ICB to lose two senior leaders at the same time
- System expects a large overspend against its plan
- Four other ICB CEOs due to leave
The chief executive and chief financial officer of an integrated care board under financial strain have both announced their resignation.
Staffordshire and Stoke-on-Trent ICB chief Peter Axon said he would leave in the summer, after three years in the role. The ICB’s chief finance officer Paul Brown will also be serving six months’ notice and departing in the summer.
Both have worked in the Staffordshire system for several years and in the NHS for decades.
This announcement comes a few months after the Staffordshire and Stoke system was added to NHSE’s financial “investigation and intervention” programme, due to NHSE having the “greatest [level of] concerns about delivery of [its] financial plan”. This requires them to bring in consultants to advise on reducing spending.
The system has a £90m deficit plan for 2024-25, which it expects to miss by £60m. In May, it had to sign legal “undertakings” with NHSE requiring it to return to “underlying [financial] balance” by March 2026, even though it cast doubt on whether this was possible.
Mr Axon said it was a “tough decision” to leave the ICB and he remained “committed to what the ICB are planning to achieve”.
Chair David Pearson confirmed the board will begin the process of recruiting a replacement CEO in the coming weeks.
Of Mr Brown’s departure, Mr Pearson said he “achieved many things in his time with us”.
Mr Brown said: “The New Year is a time for reflection, and I decided over the break that now is a good time to move on. I said to Peter that I want to work my full six months’ notice so that I can help ensure a good year end and the agreement of a plan for the next financial year.
“I will focus on working with my team and system colleagues to ensure that there is a strong legacy, so that the system can go from strength to strength in the future.”
Mr Brown said he hoped to find a new “challenge” in the NHS.
The interim CEO of Leicester, Leicestershire and Rutland — another Midlands ICB — is also due to leave in the summer; and ICB CEOs in South West London, Gloucestershire, and Cheshire and Merseyside are also due to leave in the next few months.
HSJ Reducing Health Inequalities Forum| 19 May 2025 | Park Regis Birmingham
Join 100+ senior leaders from both the NHS and wider landscape at the HSJ Reducing Health Inequalities Forum on 19 May in Birmingham, to identify and scale tangible solutions to improving population health.
Your local population deserves long, healthy lives, and equitable access to care. Attending the Forum allows you to gain insights from changes that are successfully being delivered on the ground, to hearing from leaders who are setting national or system-wide strategy.
Dr Bola Owolabi, Director, Health Inequalities, NHS England will be delivering a keynote address. You will also hear insights from 20+ colleagues across different systems, neighbourhoods and trusts who will be joining panel sessions across the day.
Delegate places are fully funded to senior leaders working within the NHS and across the public sector.
To find out more information and to secure your place, click here.
Source
Staffordshire and Stoke-on-Trent ICB
Source Date
January 2025
19 Readers' comments