Who should read this Acute Trust Service Managers, Clinical Directors, Digital Transformation Teams, Pathway Coordinators, and ICB Commissioning Leads. Summary Following the government’s mandate for Integrated Care Boards (ICBs) to reduce running costs by 50% by the end of 2025/26, regional ICBs are actively decommissioning central intermediary Referral Services. As these intermediary hubs close—such as the BNSSG Referral Service shutting down in September 2026—the administr