# NHS West and North London Integrated Care Board: money, staff and waiting times

url: https://whereyourmoneygoes.co.uk/nhs/west-and-north-london/
updated: 29 September 2026
licence: Our words, analysis, charts and derived calculations: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/), credit [Tekstak Ltd](https://tek-stak.co.uk). Figures: each source's own licence, listed under Sources.
publisher: [Tekstak Ltd](https://tek-stak.co.uk)

# NHS West and North London Integrated Care Board: money, staff and waiting times



Last updated 29 September 2026.
Figures refresh every night. [How each figure is worked out](/methodology/).





**£12.6bn** for NHS West and North London Integrated Care Board in 2028-29, **£3,482** per resident, +1.0% on a year earlier after inflation.



Figure as of unknown date. Source:
[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx).





## Key figures



- £12.6bn2028-29, cash

+2.9% on a year earlier
- £3,482Per resident, 2028-29
- 67.5%Waiting under 18 weeks (England), 2026-07

England: 65.3%
- 134.1 per 1,000 residentsWaiting list per 1,000 residents (England), 2026-07

England: 121.7 per 1,000 residents
- 104,744 FTENHS staff, full-time equivalent (England), 2026-07

England: 1,369,177 FTE
As of 24 September 2026




Sources: [NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx), [NHS England (formerly NHS Digital)](https://files.digital.nhs.uk/EA/63063B/NHS%20HCHS%20Workforce%20Statistics%2C%20Trusts%20and%20core%20organisations%20-%20CSV%20data%20files%2C%20July%202026.zip).






## Over time: cash, real terms and per resident




**NHS West and North London Integrated Care Board: spending in cash and in 2025-26 prices, £ billion**








Real terms use HM Treasury’s GDP deflator, 2025-26 prices. Breaks in the series: 2019-20: Wales: Bridgend moved from Abertawe Bro Morgannwg to Cwm Taf on 1 April 2019, forming Swansea Bay and Cwm Taf Morgannwg university health boards; their series start then. 2020-21: Health spending from 2020-21 to 2022-23 includes Covid-19 testing, vaccines and other pandemic costs. 2022-23: England: integrated care boards replaced clinical commissioning groups on 1 July 2022. 2023-24: England: Health Education England merged into NHS England on 1 April 2023 (DHSC core tables). 2026-27: England: 42 ICBs became 36 on 1 April 2026 after mergers. The allocations restate 2025-26 on the new boundaries; waiting-list figures by ICB start in April 2026. 2026-27: England: the government announced in March 2025 that NHS England would be merged into DHSC; later PESA editions and DHSC accounts may present its budget differently. 2026-27: Scotland: NHS Education for Scotland and NHS National Services Scotland merged into NHS Delivery on 1 April 2026.




**The numbers behind this chart**





| Year | Real terms (2025-26 prices) | Cash |
| --- | --- | --- |
| 2025-26Details | £11.7bn | £11.7bn |
| Cash£11.7bn | | |
| 2026-27Details | £11.7bn | £12.0bn |
| Cash£12.0bn | | |
| 2027-28Details | £11.8bn | £12.3bn |
| Cash£12.3bn | | |
| 2028-29Details | £11.9bn | £12.6bn |
| Cash£12.6bn | | |






Figure as of unknown date. Source:
[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx).





**NHS West and North London Integrated Care Board: spending per resident, 2025-26 prices**








Per resident divides by ONS mid-year population estimates.




**The numbers behind this chart**





| Year | Per resident, 2025-26 prices | Per resident, cash |
| --- | --- | --- |
| 2025-26Details | £3,213 | £3,213 |
| Per resident, cash£3,213 | | |
| 2026-27Details | £3,231 | £3,296 |
| Per resident, cash£3,296 | | |
| 2027-28Details | £3,255 | £3,384 |
| Per resident, cash£3,384 | | |
| 2028-29Details | £3,287 | £3,482 |
| Per resident, cash£3,482 | | |






Figure as of unknown date. Source:
[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx).




Source: NHS England, [ICB allocations 2026-27 to 2028-29: combined workbook](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx).





## Where it sits, and what is below it



- UK total
- Nation
- Department or service body
- Local body
- Spending category
- Line or transaction





- Health, United Kingdom
- Health, England
- NHS England
- NHS West and North London Integrated Care Board





### NHS West and North London Integrated Care Board



Allocations, not outturn: NHS England’s recurrent allocations to the ICB for core services, primary medical care, delegated specialised services, and pharmacy, optometry and dental services. 2025-26 is NHS England’s baseline restated on April 2026 boundaries; 2027-28 and 2028-29 are planned. Non-recurrent funding and running costs are left out (see extra.england.icbs). Per head divides by ONS residents of the local authorities the ICB mainly covers, not NHS England’s weighted population.



**£12.6bn** in 2028-29 (cash); £11.9bn in 2025-26 prices; £3,482 per resident; +2.9% on a year earlier in cash, +1.0% in real terms.





| Spending category | Cash, 2028-29 | Real terms (2025-26 prices) | Per resident | Real change on a year earlier | Source | Below this |
| --- | --- | --- | --- | --- | --- | --- |
| Core services: hospital, community and mental health careDetails | £9.2bn | £8.7bn | £2,540 | +1.1% | [NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | Line or transaction not published: NHS England does not publish a finer split of the core allocation; each ICB reports what it spent in its annual accounts, which are PDF documents. |
| Real terms (2025-26 prices)£8.7bnPer resident£2,540Real change on a year earlier+1.1%Source[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx)Below thisLine or transaction not published: NHS England does not publish a finer split of the core allocation; each ICB reports what it spent in its annual accounts, which are PDF documents. | | | | | | |
| [Specialised services delegated to the ICB](#sd-E54000071-specialised)Details | £2.0bn | £1.9bn | £553 | +1.5% | [NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | Broken down below |
| Real terms (2025-26 prices)£1.9bnPer resident£553Real change on a year earlier+1.5%Source[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx)Below thisBroken down below | | | | | | |
| Primary medical care (GP services)Details | £948m | £895m | £261 | −0.6% | [NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | Line or transaction not published: NHS England does not split the primary medical care allocation further. |
| Real terms (2025-26 prices)£895mPer resident£261Real change on a year earlier−0.6%Source[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx)Below thisLine or transaction not published: NHS England does not split the primary medical care allocation further. | | | | | | |
| Pharmacy, optometry and dental servicesDetails | £466m | £440m | £128 | 0.0% | [NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | Line or transaction not published: NHS England publishes the pharmacy, optometry and dental allocation as one figure for each ICB. |
| Real terms (2025-26 prices)£440mPer resident£128Real change on a year earlier0.0%Source[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx)Below thisLine or transaction not published: NHS England publishes the pharmacy, optometry and dental allocation as one figure for each ICB. | | | | | | |








- Health, United Kingdom
- Health, England
- NHS England
- [NHS West and North London Integrated Care Board](/nhs/west-and-north-london/)
- Specialised services delegated to the ICB





### Specialised services delegated to the ICB




**£2.0bn** in 2028-29 (cash); £1.9bn in 2025-26 prices; £553 per resident; +3.3% on a year earlier in cash, +1.5% in real terms.





| Line or transaction | Cash, 2028-29 | Real terms (2025-26 prices) | Per resident | Real change on a year earlier | Source | Below this |
| --- | --- | --- | --- | --- | --- | --- |
| Specialised physical health servicesDetails | £1.3bn | £1.2bn | £362 | +0.7% | [NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | |
| Real terms (2025-26 prices)£1.2bnPer resident£362Real change on a year earlier+0.7%Source[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | | | | | | |
| High-cost drugs and devicesDetails | £497m | £469m | £137 | +4.1% | [NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | |
| Real terms (2025-26 prices)£469mPer resident£137Real change on a year earlier+4.1%Source[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | | | | | | |
| Specialised mental health servicesDetails | £193m | £183m | £53.25 | +0.2% | [NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | |
| Real terms (2025-26 prices)£183mPer resident£53.25Real change on a year earlier+0.2%Source[NHS England](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | | | | | | |






Cash is as published. Real terms are in 2025-26 prices, using HM Treasury’s GDP deflator. Per resident divides by
ONS mid-year population for the area the body serves. Changes compare the same body in consecutive years.






## What is recorded alongside the money



These figures are published beside the funding, not as its result. Demand, geography, recording practice and
many other things differ between areas and change over time; none of these charts shows cause and effect.





| Measure | NHS West and North London Integrated Care Board | England | Period |
| --- | --- | --- | --- |
| Waiting under 18 weeks (England)Details | 67.5% | 65.3% | 2026-07 |
| England65.3%Period2026-07 | | | |
| Waiting list per 1,000 residents (England)Details | 134.1 per 1,000 residents | 121.7 per 1,000 residents | 2026-07 |
| England121.7 per 1,000 residentsPeriod2026-07 | | | |
| NHS staff, full-time equivalent (England)Details | 104,744 FTE | 1,369,177 FTE | 2026-07 |
| England1,369,177 FTEPeriod2026-07 | | | |






**Waiting under 18 weeks (England): NHS West and North London Integrated Care Board and comparisons**








The share of incomplete RTT pathways with a known clock start that had been waiting 18 weeks or less at the end of the month. Each nation measures this differently, so it is never compared across nations. Target: 92% within 18 weeks (NHS Constitution standard).




**The numbers behind this chart**





| Year | NHS West and North London Integrated Care Board | England |
| --- | --- | --- |
| 2026-04Details | 66.2% | 64.9% |
| England64.9% | | |
| 2026-05Details | 67.1% | 65.5% |
| England65.5% | | |
| 2026-06Details | 67.7% | 65.8% |
| England65.8% | | |
| 2026-07Details | 67.5% | 65.3% |
| England65.3% | | |






Figure as of unknown date. Source:
[NHS England](https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2026/09/Full-CSV-data-file-Jul26-ZIP-4M-97ylx5.zip).





**Waiting list per 1,000 residents (England): NHS West and North London Integrated Care Board and comparisons**








The RTT waiting list divided by ONS mid-year residents of the local authorities the ICB mainly covers (the latest estimate for the month's calendar year). Residents, not GP-registered patients. Each nation measures this differently, so it is never compared across nations.




**The numbers behind this chart**





| Year | NHS West and North London Integrated Care Board | England |
| --- | --- | --- |
| 2026-04Details | 134.7 | 121.1 |
| England121.1 | | |
| 2026-05Details | 135.5 | 122.1 |
| England122.1 | | |
| 2026-06Details | 135.2 | 122.0 |
| England122.0 | | |
| 2026-07Details | 134.1 | 121.7 |
| England121.7 | | |






Figure as of unknown date. Source:
[NHS England](https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2026/09/Full-CSV-data-file-Jul26-ZIP-4M-97ylx5.zip).





**NHS staff, full-time equivalent (England): NHS West and North London Integrated Care Board and comparisons**








Hospital and community health service staff employed by NHS trusts and core organisations (NHS England workforce statistics), full-time equivalent, at the end of the month. By ICB it counts the staff of the trusts in the ICB’s area, who also treat patients from elsewhere. Excludes GP practices and other primary care staff. Annual (September) figures before the last twelve months.




**The numbers behind this chart**



Search




| Year | NHS West and North London Integrated Care Board | England |
| --- | --- | --- |
| 2009-09Details | 70,661 | 1,002,298 |
| England1,002,298 | | |
| 2010-09Details | 72,826 | 1,012,217 |
| England1,012,217 | | |
| 2011-09Details | 71,657 | 993,466 |
| England993,466 | | |
| 2012-09Details | 71,960 | 975,876 |
| England975,876 | | |
| 2013-09Details | 72,930 | 973,261 |
| England973,261 | | |
| 2014-09Details | 75,130 | 994,358 |
| England994,358 | | |
| 2015-09Details | 76,648 | 1,014,218 |
| England1,014,218 | | |
| 2016-09Details | 78,249 | 1,037,054 |
| England1,037,054 | | |
| 2017-09Details | 80,262 | 1,052,963 |
| England1,052,963 | | |
| 2018-09Details | 82,528 | 1,074,209 |
| England1,074,209 | | |
| 2019-09Details | 85,278 | 1,110,816 |
| England1,110,816 | | |
| 2020-09Details | 89,849 | 1,161,193 |
| England1,161,193 | | |
| 2021-09Details | 88,999 | 1,205,362 |
| England1,205,362 | | |
| 2022-09Details | 91,666 | 1,239,868 |
| England1,239,868 | | |
| 2023-09Details | 96,871 | 1,308,825 |
| England1,308,825 | | |
| 2024-09Details | 102,982 | 1,359,358 |
| England1,359,358 | | |
| 2025-07Details | 105,570 | 1,372,429 |
| England1,372,429 | | |
| 2025-08Details | 105,454 | 1,374,032 |
| England1,374,032 | | |
| 2025-09Details | 105,490 | 1,377,897 |
| England1,377,897 | | |
| 2025-10Details | 105,524 | 1,379,191 |
| England1,379,191 | | |
| 2025-11Details | 105,553 | 1,379,812 |
| England1,379,812 | | |
| 2025-12Details | 105,453 | 1,377,448 |
| England1,377,448 | | |
| 2026-01Details | 105,545 | 1,379,163 |
| England1,379,163 | | |
| 2026-02Details | 105,579 | 1,379,060 |
| England1,379,060 | | |
| 2026-03Details | 105,613 | 1,379,670 |
| England1,379,670 | | |
| 2026-04Details | 105,406 | 1,373,838 |
| England1,373,838 | | |
| 2026-05Details | 104,920 | 1,371,058 |
| England1,371,058 | | |
| 2026-06Details | 105,049 | 1,370,441 |
| England1,370,441 | | |
| 2026-07Details | 104,744 | 1,369,177 |
| England1,369,177 | | |











Figure as of 24 September 2026. Source:
[NHS England (formerly NHS Digital)](https://files.digital.nhs.uk/EA/63063B/NHS%20HCHS%20Workforce%20Statistics%2C%20Trusts%20and%20core%20organisations%20-%20CSV%20data%20files%2C%20July%202026.zip).






## What these figures do and don't show



- **Each nation runs its own NHS.** Budgets, targets and waiting-time measures differ between England, Scotland, Wales and Northern Ireland, so performance is compared within a nation, never across them.
- **Allocations are not spending.** An integrated care board’s allocation is what it is given to plan and buy care; outturn is what was spent. They are labelled and never added together.
- **Per head needs a named denominator.** Figures here divide by ONS resident population; the NHS’s own per-head figures often use GP-registered patients, which run higher.
- **Covid years are different.** Health spending from 2020-21 to 2022-23 includes testing, vaccines and protective equipment.
- **Nothing here shows cause and effect.** Money, staff and waiting times are shown side by side; demand, age and ill-health differ between areas.




Where this sits: Health, United Kingdom → Health, England → NHS England → NHS West and North London Integrated Care Board. Figures from data/services/nhs.json, generated 29 September 2026.



## Use this data



The figures belong to the bodies that published them and are used under their terms, listed in
[Sources for this page](#sources); most are Crown copyright under the Open Government Licence.
Only our own words, analysis, charts and derived calculations are ours, published under
[CC BY 4.0](https://creativecommons.org/licenses/by/4.0/): reuse them, including
commercially, if you credit [Tekstak Ltd](https://tek-stak.co.uk) and link back to this page.



### Download



- [NHS West and North London Integrated Care Board: the dataset (CSV)](/data/services/nhs.csv)
[JSON](/data/services/nhs.json)

- [All data, field definitions and licences](/data/)







## Sources for this page





| Source | Publisher | Figures as of | Updated | Licence |
| --- | --- | --- | --- | --- |
| [ICB allocations 2026-27 to 2028-29: combined workbook](https://www.england.nhs.uk/wp-content/uploads/2025/12/icb-allocations-combined-2026-27-to-2028-29-v1.8.xlsx) | NHS England | — | annual | [Open Government Licence v3.0](https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/) |
| [Referral to treatment (RTT) waiting times: full CSV extracts](https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2026/09/Full-CSV-data-file-Jul26-ZIP-4M-97ylx5.zip) | NHS England | — | annual | [Open Government Licence v3.0](https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/) |
| [NHS Workforce Statistics, July 2026: trusts and core organisations CSV (Core 1)](https://files.digital.nhs.uk/EA/63063B/NHS%20HCHS%20Workforce%20Statistics%2C%20Trusts%20and%20core%20organisations%20-%20CSV%20data%20files%2C%20July%202026.zip) | NHS England (formerly NHS Digital) | 24 September 2026 | annual | [Open Government Licence v3.0](https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/) |





Each source's figures are used under the licence shown. Our own words, analysis, charts and derived calculations
are ours, under [CC BY 4.0](https://creativecommons.org/licenses/by/4.0/).

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Published by [Tekstak Ltd](https://tek-stak.co.uk). Our words, analysis, charts and derived calculations: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/), credit [Tekstak Ltd](https://tek-stak.co.uk). The figures belong to the publishers listed under Sources and are used under their licences. Figures last updated 29 September 2026.