England NHS system organisations
There are changes coming to how the NHS is managed and health and care system operations in England.
The ÂÌñ»»ÆÞ advocates for our members and is committed to ensuring that patient care standards are maintained throughout these changes. Support is available for members impacted by these changes across England. Regular meetings are keeping members updated with all available information and we are working closely with ÂÌñ»»ÆÞ representatives and other unions. We are meeting managers and leaders to advocate for you and are monitoring the impact of these changes closely.
You can find the latest information available on this page and it will be updated regularly. You can find information about developments across organisations and access details about ÂÌñ»»ÆÞ activities, support or helpful guidance.
This page will be reviewed regularly. It was last updated on Thursday 24 July 2025.
What is the ÂÌñ»»ÆÞ doing?
We continue to strongly advocate for nurses and nursing staff affected by these changes at a local and national level as well as representing and advocating for the profession:
Nationally
- Following the publication of the Model Integrated Care Board (ICB) Blueprint, we have written to the Chief Executive at NHS England to express concerns. Read our full letter. In early June, we received a response from NHS England.
- We are part of the national Social Partnership Forum where discussions between trade unions and employers about the system change take place
- We continue to engage with NHS England and the Department of Health and Social Care to represent the nursing specific viewpoint
- We're holding monthly national member meetings for those affected
- Regular emails with ÂÌñ»»ÆÞ updates are being sent to those who are affected. To make sure your details are up to date, please go to MyÂÌñ»»ÆÞ.
- We're regularly updating our online resources to support members through organisational change
- We're running webinars that will be recorded to support our members through this organisational change:
Locally
- Our local ÂÌñ»»ÆÞ representatives continue to meet with employers in local workplaces an