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Yesterday the first wave of integrated care board chief executives were announced in a significant next step for the development of the new health systems.

The “chief executive designates” will be confirmed in the role if the Health and Social Care Bill is passed by Parliament, which is expected early next year.

Under the bill, ICBs will be part of the ICSs’ structure which will make most executive decisions and will control NHS resources, including taking on the functions of clinical commissioning groups.

The chief executive role will replace the ICS executive leads – which are in place in the majority of health systems, some of which have only been recruited in recent months. If the leads were interested in taking on the CEO post they were expected to compete for the role.

However, one of the largest systems, Greater Manchester, announced it had failed to appoint a CEO following a recruitment process which started in the autumn. This will come as a blow to the system as it could delay the development of the ICS and implementing key relationships that need to be in place by early next year.

ICS leaders haven’t said why they were unable to recruit to the £270,000 role yet, but the next round of recruitment is expected to start in due course.

The majority of health systems have confirmed their ICB chair designates, who will also be confirmed when ICBs are placed on a statutory footing. However, two systems – Devon and Lincolnshire – still haven’t appointed either of the major roles. This puts them at risk of starting on the back foot when the systems are approved early next year as planned.

ICB chief executive designates confirmed as of 5pm Thursday

North East London: Zina Etheridge, Haringey Council chief executive.

Derbyshire: Chris Clayton, Derbyshire CCG chief and ICS executive lead.

Herefordshire and Worcestershire: Simon Trickett, currently CCG chief in Herefordshire and Worcestershire.

Northamptonshire: Toby Sanders, currently Northamptonshire CCG chief and ICS lead.

Nottingham and Nottinghamshire: Amanda Sullivan, currently N&N ICS lead and CCG chief.

Cheshire and Merseyside: Graham Urwin, currently North West regional director for performance.

Lancashire and South Cumbria: Kevin Lavery, currently chief executive of Wellington City Council, New Zealand.

Cumbria and the North East: Sam Allen, Sussex Partnership Foundation Trust chief.

West Yorkshire: Rob Webster, West Yorkshire ICS lead and previously South West Yorkshire Partnership Foundation Trust chief.

Bath, North East Somerset, Swindon & Wiltshire: Sue Harriman, currently Solent Trust chief executive.

Dorset: Patricia Miller, currently Dorset County Hospital Foundation Trust chief executive.

Gloucestershire: Mary Hutton, currently Gloucestershire ICS executive lead and Gloucestershire CCG chief executive.

Sussex: Adam Doyle, Sussex ICS lead and CCG chief executive.