Member

NHS services operate across established geographical footprints, including integrated care boards, NHS commissioners and NHS trusts that may not align with the newly created or expanded strategic authorities. Police forces and fire and rescue services are organised around operationally coherent areas that may not correspond with strategic authority boundaries. Transport planning and delivery often reflects, as we have heard, existing networks and hubs, rather than local government boundaries, thereby creating potential misalignment where strategic authorities are drawn on different footprints.