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"https://www.england.nhs.uk/wp-content/uploads/2022/05/integrated-care-board-establishment-and-abolition-order-2026.pdf", "citation": "Integrated Care Boards Establishment and Abolition Order 2026. `ENG-ORDER-2026-ICB`, art. 5 and Schedule, PDF pp. 3 to 9. https://www.england.nhs.uk/wp-content/uploads/2022/05/integrated-care-board-establishment-and-abolition-order-2026.pdf", "locator": "`ENG-ORDER-2026-ICB`, art. 5 and Schedule, PDF pp. 3 to 9", "locator_text": "`ENG-ORDER-2026-ICB`, art. 5 and Schedule, PDF pp. 3 to 9" } ], "proposed_statement": "The 2026 ICB order defines board areas through named local-government areas and, for specified partial areas, lower-layer super output areas.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "From 2026-04-01", "verification_requirements": [ "Acquire authoritative geospatial boundaries before map rendering." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:52ee320cbd137578a808", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "governance" ], "source_references": [ { "source_reference_id": "display-source:2d35b219218f35e73651", "title": "ENG-NHS-ACT-2006-S30-CURRENT", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/30", "citation": "ENG-NHS-ACT-2006-S30-CURRENT. `ENG-NHS-ACT-2006-S30-CURRENT`, s. 30; `ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 para. 1. https://www.legislation.gov.uk/ukpga/2006/41/section/30", "locator": "`ENG-NHS-ACT-2006-S30-CURRENT`, s. 30; `ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 para. 1", "locator_text": "`ENG-NHS-ACT-2006-S30-CURRENT`, s. 30; `ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 para. 1" }, { "source_reference_id": "display-source:d1e68fa144de14f1707c", "title": "ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/7", "citation": "ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT. `ENG-NHS-ACT-2006-S30-CURRENT`, s. 30; `ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 para. 1. https://www.legislation.gov.uk/ukpga/2006/41/schedule/7", "locator": "`ENG-NHS-ACT-2006-S30-CURRENT`, s. 30; `ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 para. 1", "locator_text": "`ENG-NHS-ACT-2006-S30-CURRENT`, s. 30; `ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 para. 1" } ], "proposed_statement": "An NHS foundation trust is a public benefit corporation.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "Current text through 2026-08-09", "verification_requirements": [ "Do not infer a private owner or unlimited autonomy." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:6ed27fdd9baf1bc26932", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "integration" ], "source_references": [ { "source_reference_id": "display-source:1f57ca1c46f9e3078f01", "title": "ENG-LGPIH-ACT-2007-S116ZB-CURRENT", "url": "https://www.legislation.gov.uk/ukpga/2007/28/section/116ZB", "citation": "ENG-LGPIH-ACT-2007-S116ZB-CURRENT. `ENG-LGPIH-ACT-2007-S116ZB-CURRENT`, s. 116ZB. https://www.legislation.gov.uk/ukpga/2007/28/section/116ZB", "locator": "`ENG-LGPIH-ACT-2007-S116ZB-CURRENT`, s. 116ZB", "locator_text": "`ENG-LGPIH-ACT-2007-S116ZB-CURRENT`, s. 116ZB" } ], "proposed_statement": "An integrated care partnership must prepare and publish a strategy for meeting assessed needs through ICB, NHS England, and responsible-local-authority functions, with specified involvement duties.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "From 2022-07-01", "verification_requirements": [ "Link each current strategy and retain public-involvement scope." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:7a99f7a950f2c84dda17", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "health_system_organization" ], "source_references": [ { "source_reference_id": "display-source:e43b556a442eb88366d0", "title": "ENG-NHS-ACT-2006-S14Z29-CURRENT", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z29", "citation": "ENG-NHS-ACT-2006-S14Z29-CURRENT. `ENG-NHS-ACT-2006-S14Z29-CURRENT`, s. 14Z29. https://www.legislation.gov.uk/ukpga/2006/41/section/14Z29", "locator": "`ENG-NHS-ACT-2006-S14Z29-CURRENT`, s. 14Z29", "locator_text": "`ENG-NHS-ACT-2006-S14Z29-CURRENT`, s. 14Z29" } ], "proposed_statement": "Each ICB must publish its constitution.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "Current text through 2026-08-09", "verification_requirements": [ "Acquire and version each constitution for local governance claims." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:8778a6837c5fc7480e62", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "health_system_organization" ], "source_references": [ { "source_reference_id": "display-source:b75c6cf74cd8b336321c", "title": "Integrated Care Boards Establishment and Abolition Order 2026", "url": "https://www.england.nhs.uk/wp-content/uploads/2022/05/integrated-care-board-establishment-and-abolition-order-2026.pdf", "citation": "Integrated Care Boards Establishment and Abolition Order 2026. `ENG-ORDER-2026-ICB`, arts. 2 to 7 and explanatory note, PDF pp. 2 to 10; `ENG-ICB-REGISTER`, updated 2026-04-01. https://www.england.nhs.uk/wp-content/uploads/2022/05/integrated-care-board-establishment-and-abolition-order-2026.pdf", "locator": "`ENG-ORDER-2026-ICB`, arts. 2 to 7 and explanatory note, PDF pp. 2 to 10; `ENG-ICB-REGISTER`, updated 2026-04-01", "locator_text": "`ENG-ORDER-2026-ICB`, arts. 2 to 7 and explanatory note, PDF pp. 2 to 10; `ENG-ICB-REGISTER`, updated 2026-04-01" }, { "source_reference_id": "display-source:5104966021a1ae4f18df", "title": "ENG-ICB-REGISTER", "url": "https://www.england.nhs.uk/publication/integrated-care-boards-in-england/", "citation": "ENG-ICB-REGISTER. `ENG-ORDER-2026-ICB`, arts. 2 to 7 and explanatory note, PDF pp. 2 to 10; `ENG-ICB-REGISTER`, updated 2026-04-01. https://www.england.nhs.uk/publication/integrated-care-boards-in-england/", "locator": "`ENG-ORDER-2026-ICB`, arts. 2 to 7 and explanatory note, PDF pp. 2 to 10; `ENG-ICB-REGISTER`, updated 2026-04-01", "locator_text": "`ENG-ORDER-2026-ICB`, arts. 2 to 7 and explanatory note, PDF pp. 2 to 10; `ENG-ICB-REGISTER`, updated 2026-04-01" } ], "proposed_statement": "Thirty-six ICBs form the effective England configuration from 2026-04-01 after 12 boards were abolished, six were established, other boards continued, and the earlier establishment orders were revoked.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "From 2026-04-01", "verification_requirements": [ "Verify no later order altered the configuration for the selected date." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:899cd01b3c3a29297a43", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "licensing", "provider_organization", "registry_scope" ], "source_references": [ { "source_reference_id": "display-source:a246966d16280566b462", "title": "ENG-NHS-TRUST-REGISTER-2026-07", "url": "https://www.england.nhs.uk/wp-content/uploads/2019/04/registers-of-licensed-healthcare-providers-nhs-trusts-and-foundation-trusts-july-2026.xlsx", "citation": "ENG-NHS-TRUST-REGISTER-2026-07. `ENG-NHS-TRUST-REGISTER-2026-07`, sheets `Foundation Trusts` and `Trusts`. https://www.england.nhs.uk/wp-content/uploads/2019/04/registers-of-licensed-healthcare-providers-nhs-trusts-and-foundation-trusts-july-2026.xlsx", "locator": "`ENG-NHS-TRUST-REGISTER-2026-07`, sheets `Foundation Trusts` and `Trusts`", "locator_text": "`ENG-NHS-TRUST-REGISTER-2026-07`, sheets `Foundation Trusts` and `Trusts`" } ], "proposed_statement": "The July 2026 official NHS trust register contains 142 foundation-trust legal-entity rows and 60 NHS-trust legal-entity rows.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "reported", "territory_scope": "England", "period_basis": "July 2026 snapshot", "verification_requirements": [ "Confirm publisher update date, duplicate policy, and mergers; never call these facility counts." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:8b4720260f12f1a12634", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "health_system_organization" ], "source_references": [ { "source_reference_id": "display-source:fd8a676017d88e9a448f", "title": "ENG-NHS-ACT-2006-SCHEDULE-4-CURRENT", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/4", "citation": "ENG-NHS-ACT-2006-SCHEDULE-4-CURRENT. `ENG-NHS-ACT-2006-SCHEDULE-4-CURRENT`, Sch. 4 para. 4. https://www.legislation.gov.uk/ukpga/2006/41/schedule/4", "locator": "`ENG-NHS-ACT-2006-SCHEDULE-4-CURRENT`, Sch. 4 para. 4", "locator_text": "`ENG-NHS-ACT-2006-SCHEDULE-4-CURRENT`, Sch. 4 para. 4" } ], "proposed_statement": "NHS England appoints the chair of an NHS trust under the current Schedule 4 text.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "Current text through 2026-08-09", "verification_requirements": [ "Check special cases, delegations, regulations, and entity documents." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:945ada185535c3c83367", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "health_system_organization" ], "source_references": [ { "source_reference_id": "display-source:774686d1ac1b050f0bfd", "title": "ENG-PROPOSAL-2026-HEALTH-BILL-IA", "url": "https://www.gov.uk/government/publications/health-bill-abolishing-nhs-england-impact-assessment", "citation": "ENG-PROPOSAL-2026-HEALTH-BILL-IA. `ENG-PROPOSAL-2026-HEALTH-BILL-IA`. https://www.gov.uk/government/publications/health-bill-abolishing-nhs-england-impact-assessment", "locator": "`ENG-PROPOSAL-2026-HEALTH-BILL-IA`", "locator_text": "`ENG-PROPOSAL-2026-HEALTH-BILL-IA`" } ], "proposed_statement": "The official May 2026 impact assessment describes abolition of NHS England as a proposal, not an enacted change to the current organization graph.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "reported", "territory_scope": "England", "period_basis": "Published 2026-05-14", "verification_requirements": [ "Monitor the bill, Royal Assent, commencement, transfer, and transition instruments." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:99a5ec91ea6f4226a781", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "integration" ], "source_references": [ { "source_reference_id": "display-source:37a37bd7b620febb894d", "title": "ENG-NHS-ACT-2006-S14Z42-CURRENT", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z42", "citation": "ENG-NHS-ACT-2006-S14Z42-CURRENT. `ENG-NHS-ACT-2006-S14Z42-CURRENT`, s. 14Z42. https://www.legislation.gov.uk/ukpga/2006/41/section/14Z42", "locator": "`ENG-NHS-ACT-2006-S14Z42-CURRENT`, s. 14Z42", "locator_text": "`ENG-NHS-ACT-2006-S14Z42-CURRENT`, s. 14Z42" } ], "proposed_statement": "An ICB must promote integration of health services and, where statutory conditions are met, integration with health-related and social-care services.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "Current text through 2026-08-09", "verification_requirements": [ "Preserve the conditional tests and distinguish duty from observed integration." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:ade6e0235de50b2332f4", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "health_system_organization" ], "source_references": [ { "source_reference_id": "display-source:ecaa3d2fb06c43ee46ab", "title": "ENG-NHS-ACT-2006-S3-CURRENT", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/3", "citation": "ENG-NHS-ACT-2006-S3-CURRENT. `ENG-NHS-ACT-2006-S3-CURRENT`, s. 3. https://www.legislation.gov.uk/ukpga/2006/41/section/3", "locator": "`ENG-NHS-ACT-2006-S3-CURRENT`, s. 3", "locator_text": "`ENG-NHS-ACT-2006-S3-CURRENT`, s. 3" } ], "proposed_statement": "An ICB must arrange specified hospital and other health services to the extent it considers necessary to meet the reasonable requirements of people for whom it is responsible.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "Current text through 2026-08-09", "verification_requirements": [ "Split service categories and qualifications; do not infer the delivering provider." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:badffebe11660c4e8b51", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "accountability", "governance" ], "source_references": [ { "source_reference_id": "display-source:d1e68fa144de14f1707c", "title": "ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/7", "citation": "ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT. `ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 paras. 10A and 15. https://www.legislation.gov.uk/ukpga/2006/41/schedule/7", "locator": "`ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 paras. 10A and 15", "locator_text": "`ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 paras. 10A and 15" } ], "proposed_statement": "A foundation trust's council of governors holds non-executive directors to account and represents members and the public, while its board of directors exercises the corporation's powers.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "Current text through 2026-08-09", "verification_requirements": [ "Collect entity constitutions and observed governance evidence." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:c206b22f82666740276f", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "licensing", "provider_organization" ], "source_references": [ { "source_reference_id": "display-source:73da37e23eca003e51ef", "title": "ENG-INDEPENDENT-PROVIDER-REGISTER-2026-07", "url": "https://www.england.nhs.uk/wp-content/uploads/2019/04/register-of-licensed-independent-providers-july-26.xlsx", "citation": "ENG-INDEPENDENT-PROVIDER-REGISTER-2026-07. `ENG-INDEPENDENT-PROVIDER-REGISTER-2026-07`, sheet `Monitor Public Register`. https://www.england.nhs.uk/wp-content/uploads/2019/04/register-of-licensed-independent-providers-july-26.xlsx", "locator": "`ENG-INDEPENDENT-PROVIDER-REGISTER-2026-07`, sheet `Monitor Public Register`", "locator_text": "`ENG-INDEPENDENT-PROVIDER-REGISTER-2026-07`, sheet `Monitor Public Register`" } ], "proposed_statement": "The July 2026 independent-provider register contains 158 licensed independent-provider legal-entity rows.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "reported", "territory_scope": "England", "period_basis": "July 2026 snapshot", "verification_requirements": [ "Establish register inclusion rules and never extrapolate to the whole private market." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": "display-evidence:GBR:c67bd1de133680a9b022", "country_id": "GBR", "record_type": "candidate_fact", "display_eligible": true, "evidence_source_layer": "country_source_locator", "coverage_domains": [ "health_system_organization" ], "source_references": [ { "source_reference_id": "display-source:e3a6322d39f93bbe5b9f", "title": "ENG-NHS-ACT-2006-S14Z52-CURRENT", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z52", "citation": "ENG-NHS-ACT-2006-S14Z52-CURRENT. `ENG-NHS-ACT-2006-S14Z52-CURRENT`, s. 14Z52. https://www.legislation.gov.uk/ukpga/2006/41/section/14Z52", "locator": "`ENG-NHS-ACT-2006-S14Z52-CURRENT`, s. 14Z52", "locator_text": "`ENG-NHS-ACT-2006-S14Z52-CURRENT`, s. 14Z52" } ], "proposed_statement": "Each ICB and its partner NHS trusts and foundation trusts must jointly prepare and publish a five-year forward plan and provide it to specified partnership, local, and national actors.", "evidence_excerpt": null, "excerpt_status": "not_displayed", "direct_text_checkable": false, "verification_route": "open_source_at_displayed_locator", "evidence_mode_candidate": "formal", "territory_scope": "England", "period_basis": "Current text through 2026-08-09", "verification_requirements": [ "Determine current partner providers and plan versions per ICB." ], "display_status": "shown_in_full", "review_channel": "text_anchored_annotation" }, { "display_evidence_id": 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"material:2ab08765888851e9e4eb19f3", "notes": [ "Confirm later amendments and collect current committee membership.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "From 2022-07-01", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "707b7a79da0da1ea915b1eeaf00f5909a14369d7f8e65ad698ebb1071d688101" }, "statement": "An ICB and every responsible local authority whose area overlaps the ICB area must establish a joint integrated care partnership committee.", "tags": [], "territory": "England", "title": "An ICB and every responsible local authority whose area overlaps the ICB area must establish a joint integrated care partnership committee.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2007/28/section/116ZA" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An ICB must arrange specified hospital and other health services to the extent it considers necessary to meet the reasonable requirements of people for whom it is responsible.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S3-CURRENT`, s. 3" }, "material_id": "material:6859fe0a3469667060020607", "notes": [ "Split service categories and qualifications; do not infer the delivering provider.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "1d406f8d4a28b6986a0efd55e259ac63d0dcc2978281de3e358c768da2ae2a0c" }, "statement": "An ICB must arrange specified hospital and other health services to the extent it considers necessary to meet the reasonable requirements of people for whom it is responsible.", "tags": [], "territory": "England", "title": "An ICB must arrange specified hospital and other health services to the extent it considers necessary to meet the reasonable requirements of people for whom it is responsible.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/3" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An ICB must promote integration of health services and, where statutory conditions are met, integration with health-related and social-care services.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z42-CURRENT`, s. 14Z42" }, "material_id": "material:e26cefa51e500d68d75634cc", "notes": [ "Preserve the conditional tests and distinguish duty from observed integration.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "ee185cbc0dacb1cb797437ef7253dddfcd80a6ac42559638604145fc0d912648" }, "statement": "An ICB must promote integration of health services and, where statutory conditions are met, integration with health-related and social-care services.", "tags": [], "territory": "England", "title": "An ICB must promote integration of health services and, where statutory conditions are met, integration with health-related and social-care services.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z42" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An NHS foundation trust is a public benefit corporation.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S30-CURRENT`, s. 30; `ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 para. 1" }, "material_id": "material:66c0a28c5c774e37a5797e40", "notes": [ "Do not infer a private owner or unlimited autonomy.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata is linked from another displayed stage record with the exact same source URL." ], "origin": "candidate-claims", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_by_exact_url": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "96a3241888ea701a3fa8f47f4dea4711951107efacd249c198e337810058f24f" }, "statement": "An NHS foundation trust is a public benefit corporation.", "tags": [], "territory": "England", "title": "An NHS foundation trust is a public benefit corporation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/7" }, { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/30" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An NHS trust is a body corporate and is not a Crown agent; the current statutory board framework includes a chair and executive and non-executive directors.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-SCHEDULE-4-CURRENT`, Sch. 4 paras. 1 and 3" }, "material_id": "material:70d91fa67ab16e7cce10d970", "notes": [ "Verify regulations and each trust's current governance instrument.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "070c8865bbe46957de7450b31f58da15f0e835fe20c11993184cc6f48c26ae9b" }, "statement": "An NHS trust is a body corporate and is not a Crown agent; the current statutory board framework includes a chair and executive and non-executive directors.", "tags": [], "territory": "England", "title": "An NHS trust is a body corporate and is not a Crown agent; the current statutory board framework includes a chair and executive and non-executive directors.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/4" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An integrated care partnership must prepare and publish a strategy for meeting assessed needs through ICB, NHS England, and responsible-local-authority functions, with specified involvement duties.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-LGPIH-ACT-2007-S116ZB-CURRENT`, s. 116ZB" }, "material_id": "material:e5f36ebf462a20e04a85b57e", "notes": [ "Link each current strategy and retain public-involvement scope.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "From 2022-07-01", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "b14f583dcb4d3b617301bd29d72ba37b21391e04c804387344150285f94ab705" }, "statement": "An integrated care partnership must prepare and publish a strategy for meeting assessed needs through ICB, NHS England, and responsible-local-authority functions, with specified involvement duties.", "tags": [], "territory": "England", "title": "An integrated care partnership must prepare and publish a strategy for meeting assessed needs through ICB, NHS England, and responsible-local-authority functions, with specified involvement duties.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2007/28/section/116ZB" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Each ICB and its partner NHS trusts and foundation trusts must jointly prepare and publish a five-year forward plan and provide it to specified partnership, local, and national actors.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z52-CURRENT`, s. 14Z52" }, "material_id": "material:82fcafc1eb1045e46d28c4e3", "notes": [ "Determine current partner providers and plan versions per ICB.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "ea42eb73821cc39732f4b9467471acc47fb7f0b7a94749a8ac97c6003f001140" }, "statement": "Each ICB and its partner NHS trusts and foundation trusts must jointly prepare and publish a five-year forward plan and provide it to specified partnership, local, and national actors.", "tags": [], "territory": "England", "title": "Each ICB and its partner NHS trusts and foundation trusts must jointly prepare and publish a five-year forward plan and provide it to specified partnership, local, and national actors.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z52" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Each ICB must publish its constitution.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z29-CURRENT`, s. 14Z29" }, "material_id": "material:f3330a02d9009f6935ea594e", "notes": [ "Acquire and version each constitution for local governance claims.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "fbd9f6a65b6580303d179d3c4328156c7f3728e0d79ed155e66eb4c5b556a98d" }, "statement": "Each ICB must publish its constitution.", "tags": [], "territory": "England", "title": "Each ICB must publish its constitution.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z29" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England appoints the chair of an NHS trust under the current Schedule 4 text.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-SCHEDULE-4-CURRENT`, Sch. 4 para. 4" }, "material_id": "material:3df878432cfb7499e83a023b", "notes": [ "Check special cases, delegations, regulations, and entity documents.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "070c8865bbe46957de7450b31f58da15f0e835fe20c11993184cc6f48c26ae9b" }, "statement": "NHS England appoints the chair of an NHS trust under the current Schedule 4 text.", "tags": [], "territory": "England", "title": "NHS England appoints the chair of an NHS trust under the current Schedule 4 text.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/4" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England formally establishes integrated care boards by order for non-overlapping areas that together cover England.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z25-CURRENT`, s. 14Z25(1) to (2)" }, "material_id": "material:d3e7b9c1df30ac6aa90c4bd4", "notes": [ "Review future and unapplied effects and the selected-date order.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "45722858aeabf1f4e892bd1fd3b4cea9b3c9d85601a3add1d2e361459e97d358" }, "statement": "NHS England formally establishes integrated care boards by order for non-overlapping areas that together cover England.", "tags": [], "territory": "England", "title": "NHS England formally establishes integrated care boards by order for non-overlapping areas that together cover England.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z25" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England publishes rules determining the people for whom each ICB has core responsibility, including primary-medical-services and usual-residence bases.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z31-CURRENT`, s. 14Z31" }, "material_id": "material:50a5caf57b5b46ae2b56e35c", "notes": [ "Acquire the current NHS England allocation rules and exceptions.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "d0124543a714507aa802aac0c0aa52d0faa5ba2b27eada9957bbc2aaf60bed68" }, "statement": "NHS England publishes rules determining the people for whom each ICB has core responsibility, including primary-medical-services and usual-residence bases.", "tags": [], "territory": "England", "title": "NHS England publishes rules determining the people for whom each ICB has core responsibility, including primary-medical-services and usual-residence bases.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z31" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Responsible local authorities, partner ICBs, and NHS England must have regard to relevant needs assessments and strategies when exercising specified functions.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-LGPIH-ACT-2007-S116B-CURRENT`, s. 116B" }, "material_id": "material:96a1b67e63633554a595df05", "notes": [ "Encode `have_regard_to`, not approval, direction, ownership, or veto.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "From 2022-07-01", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "cbde35ad7709527281a0f4ca163106d398d5ce3a13b8072cd4681673ead695f0" }, "statement": "Responsible local authorities, partner ICBs, and NHS England must have regard to relevant needs assessments and strategies when exercising specified functions.", "tags": [], "territory": "England", "title": "Responsible local authorities, partner ICBs, and NHS England must have regard to relevant needs assessments and strategies when exercising specified functions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2007/28/section/116B" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The 2026 ICB order defines board areas through named local-government areas and, for specified partial areas, lower-layer super output areas.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-ORDER-2026-ICB`, art. 5 and Schedule, PDF pp. 3 to 9" }, "material_id": "material:070e830e51cc95331b8b7f0c", "notes": [ "Acquire authoritative geospatial boundaries before map rendering.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claims", "period": "From 2026-04-01", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 10, "response_sha256": "a32abd086fe7929ddf0e3fe158e2e01d611bdc2293b6dc494b91f634ba7144ae" }, "statement": "The 2026 ICB order defines board areas through named local-government areas and, for specified partial areas, lower-layer super output areas.", "tags": [], "territory": "England", "title": "The 2026 ICB order defines board areas through named local-government areas and, for specified partial areas, lower-layer super output areas.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.england.nhs.uk/wp-content/uploads/2022/05/integrated-care-board-establishment-and-abolition-order-2026.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The July 2026 independent-provider register contains 158 licensed independent-provider legal-entity rows.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ENG-INDEPENDENT-PROVIDER-REGISTER-2026-07`, sheet `Monitor Public Register" }, "material_id": "material:84a35854902c5a8b311246af", "notes": [ "Establish register inclusion rules and never extrapolate to the whole private market.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator." ], "origin": "candidate-claims", "period": "July 2026 snapshot", "publication_date": null, "publication_year": null, "record_kind": "candidate_claim", "record_kind_label": "Candidate Claim", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "The July 2026 independent-provider register contains 158 licensed independent-provider legal-entity rows.", "tags": [], "territory": "England", "title": "The July 2026 independent-provider register contains 158 licensed independent-provider legal-entity rows.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.england.nhs.uk/wp-content/uploads/2019/04/register-of-licensed-independent-providers-july-26.xlsx" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The July 2026 official NHS trust register contains 142 foundation-trust legal-entity rows and 60 NHS-trust legal-entity rows.", "country_ids": [ "GBR" ], "coverage_domains": 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"candidate-evidence", "period": "Published 2026-05-14", "publication_date": null, "publication_year": null, "record_kind": "candidate_evidence_statement", "record_kind_label": "Candidate Evidence Statement", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "triage_status": "new" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6e9ce754ef3886d72ee75ce2a4bd1972b4fd4ee8c4fe6b6f70d0efd5747ad945" }, "statement": "The official May 2026 impact assessment describes abolition of NHS England as a proposal, not an enacted change to the current organization graph.", "tags": [], "territory": "England", "title": "The official May 2026 impact assessment describes abolition of NHS England as a proposal, not an enacted change to 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"source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 10, "response_sha256": "a32abd086fe7929ddf0e3fe158e2e01d611bdc2293b6dc494b91f634ba7144ae" }, "statement": "Thirty-six ICBs form the effective England configuration from 2026-04-01 after 12 boards were abolished, six were established, other boards continued, and the earlier establishment orders were revoked.", "tags": [], "territory": "England", "title": "Thirty-six ICBs form the effective England configuration from 2026-04-01 after 12 boards were abolished, six were established, other boards continued, and the earlier establishment orders were revoked.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.england.nhs.uk/publication/integrated-care-boards-in-england/" }, { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.england.nhs.uk/wp-content/uploads/2022/05/integrated-care-board-establishment-and-abolition-order-2026.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A foundation trust's council of governors holds non-executive directors to account and represents members and the public, while its board of directors exercises the corporation's powers.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 paras. 10A and 15" }, "material_id": "material:a4b72d70b18293fda24bd245", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Collect entity constitutions and observed governance evidence.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "while_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "96a3241888ea701a3fa8f47f4dea4711951107efacd249c198e337810058f24f" }, "statement": "A foundation trust's council of governors holds non-executive directors to account and represents members and the public, while its board of directors exercises the corporation's powers.", "tags": [], "territory": "England", "title": "A foundation trust's council of governors holds non-executive directors to account and represents members and the public, while its board of directors exercises the corporation's powers.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/7" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "A foundation trust's governors appoint or remove its chair and other non-executive directors, while non-executive directors appoint or remove the chief executive and the chief-executive appointment requires governor approval.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 paras. 17 and 19" }, "material_id": "material:757a109ef4a2ec4d1cfebab9", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Separate appointment, approval, suspension, and removal rights.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "long_claim_28_words_or_more", "while_clause_boundary", "multiple_predicate_markers", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "96a3241888ea701a3fa8f47f4dea4711951107efacd249c198e337810058f24f" }, "statement": "A foundation trust's governors appoint or remove its chair and other non-executive directors, while non-executive directors appoint or remove the chief executive and the chief-executive appointment requires governor approval.", "tags": [], "territory": "England", "title": "A foundation trust's governors appoint or remove its chair and other non-executive directors, while non-executive directors appoint or remove the chief executive and the chief-executive appointment requires governor approval.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/7" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An ICB and every responsible local authority whose area overlaps the ICB area must establish a joint integrated care partnership committee.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-LGPIH-ACT-2007-S116ZA-CURRENT`, s. 116ZA(1) to (3)" }, "material_id": "material:7dc737d61ce749097ef19815", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Confirm later amendments and collect current committee membership.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "From 2022-07-01", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "707b7a79da0da1ea915b1eeaf00f5909a14369d7f8e65ad698ebb1071d688101" }, "statement": "An ICB and every responsible local authority whose area overlaps the ICB area must establish a joint integrated care partnership committee.", "tags": [], "territory": "England", "title": "An ICB and every responsible local authority whose area overlaps the ICB area must establish a joint integrated care partnership committee.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2007/28/section/116ZA" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An ICB must arrange specified hospital and other health services to the extent it considers necessary to meet the reasonable requirements of people for whom it is responsible.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S3-CURRENT`, s. 3" }, "material_id": "material:38275098dda35b614a58d3c6", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Split service categories and qualifications; do not infer the delivering provider.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "long_claim_28_words_or_more", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "1d406f8d4a28b6986a0efd55e259ac63d0dcc2978281de3e358c768da2ae2a0c" }, "statement": "An ICB must arrange specified hospital and other health services to the extent it considers necessary to meet the reasonable requirements of people for whom it is responsible.", "tags": [], "territory": "England", "title": "An ICB must arrange specified hospital and other health services to the extent it considers necessary to meet the reasonable requirements of people for whom it is responsible.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/3" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An ICB must promote integration of health services and, where statutory conditions are met, integration with health-related and social-care services.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z42-CURRENT`, s. 14Z42" }, "material_id": "material:0da6f7eee6c88a66d4e9bd66", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Preserve the conditional tests and distinguish duty from observed integration.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "ee185cbc0dacb1cb797437ef7253dddfcd80a6ac42559638604145fc0d912648" }, "statement": "An ICB must promote integration of health services and, where statutory conditions are met, integration with health-related and social-care services.", "tags": [], "territory": "England", "title": "An ICB must promote integration of health services and, where statutory conditions are met, integration with health-related and social-care services.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z42" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An NHS foundation trust is a public benefit corporation.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S30-CURRENT`, s. 30; `ENG-NHS-ACT-2006-SCHEDULE-7-CURRENT`, Sch. 7 para. 1" }, "material_id": "material:a7cb25ecdf2d74a73115a6e5", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Do not infer a private owner or unlimited autonomy.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata is linked from another displayed stage record with the exact same source URL." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_by_exact_url": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "96a3241888ea701a3fa8f47f4dea4711951107efacd249c198e337810058f24f" }, "statement": "An NHS foundation trust is a public benefit corporation.", "tags": [], "territory": "England", "title": "An NHS foundation trust is a public benefit corporation.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/7" }, { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/30" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An NHS trust is a body corporate and is not a Crown agent; the current statutory board framework includes a chair and executive and non-executive directors.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-SCHEDULE-4-CURRENT`, Sch. 4 paras. 1 and 3" }, "material_id": "material:f1aa1d0605d5a03f7b2e7d7e", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify regulations and each trust's current governance instrument.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "semicolon_clause_boundary", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "070c8865bbe46957de7450b31f58da15f0e835fe20c11993184cc6f48c26ae9b" }, "statement": "An NHS trust is a body corporate and is not a Crown agent; the current statutory board framework includes a chair and executive and non-executive directors.", "tags": [], "territory": "England", "title": "An NHS trust is a body corporate and is not a Crown agent; the current statutory board framework includes a chair and executive and non-executive directors.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/4" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "An integrated care partnership must prepare and publish a strategy for meeting assessed needs through ICB, NHS England, and responsible-local-authority functions, with specified involvement duties.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-LGPIH-ACT-2007-S116ZB-CURRENT`, s. 116ZB" }, "material_id": "material:601f7f729c1fa6aae032ddac", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Link each current strategy and retain public-involvement scope.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "From 2022-07-01", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "b14f583dcb4d3b617301bd29d72ba37b21391e04c804387344150285f94ab705" }, "statement": "An integrated care partnership must prepare and publish a strategy for meeting assessed needs through ICB, NHS England, and responsible-local-authority functions, with specified involvement duties.", "tags": [], "territory": "England", "title": "An integrated care partnership must prepare and publish a strategy for meeting assessed needs through ICB, NHS England, and responsible-local-authority functions, with specified involvement duties.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2007/28/section/116ZB" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Each ICB and its partner NHS trusts and foundation trusts must jointly prepare and publish a five-year forward plan and provide it to specified partnership, local, and national actors.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z52-CURRENT`, s. 14Z52" }, "material_id": "material:92d9fa2e53898c5ccc3e46cd", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Determine current partner providers and plan versions per ICB.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "long_claim_28_words_or_more", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "ea42eb73821cc39732f4b9467471acc47fb7f0b7a94749a8ac97c6003f001140" }, "statement": "Each ICB and its partner NHS trusts and foundation trusts must jointly prepare and publish a five-year forward plan and provide it to specified partnership, local, and national actors.", "tags": [], "territory": "England", "title": "Each ICB and its partner NHS trusts and foundation trusts must jointly prepare and publish a five-year forward plan and provide it to specified partnership, local, and national actors.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z52" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Each ICB must publish its constitution.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z29-CURRENT`, s. 14Z29" }, "material_id": "material:600aa601bbf4b7c2a45a84aa", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire and version each constitution for local governance claims.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "fbd9f6a65b6580303d179d3c4328156c7f3728e0d79ed155e66eb4c5b556a98d" }, "statement": "Each ICB must publish its constitution.", "tags": [], "territory": "England", "title": "Each ICB must publish its constitution.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z29" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England appoints the chair of an NHS trust under the current Schedule 4 text.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-SCHEDULE-4-CURRENT`, Sch. 4 para. 4" }, "material_id": "material:49caa5951378cf71d9e04659", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Check special cases, delegations, regulations, and entity documents.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "070c8865bbe46957de7450b31f58da15f0e835fe20c11993184cc6f48c26ae9b" }, "statement": "NHS England appoints the chair of an NHS trust under the current Schedule 4 text.", "tags": [], "territory": "England", "title": "NHS England appoints the chair of an NHS trust under the current Schedule 4 text.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/schedule/4" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England formally establishes integrated care boards by order for non-overlapping areas that together cover England.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z25-CURRENT`, s. 14Z25(1) to (2)" }, "material_id": "material:119354cf73c51523607ba1d2", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Review future and unapplied effects and the selected-date order.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "45722858aeabf1f4e892bd1fd3b4cea9b3c9d85601a3add1d2e361459e97d358" }, "statement": "NHS England formally establishes integrated care boards by order for non-overlapping areas that together cover England.", "tags": [], "territory": "England", "title": "NHS England formally establishes integrated care boards by order for non-overlapping areas that together cover England.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z25" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England publishes rules determining the people for whom each ICB has core responsibility, including primary-medical-services and usual-residence bases.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S14Z31-CURRENT`, s. 14Z31" }, "material_id": "material:2021c3334aa17c13c74842df", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire the current NHS England allocation rules and exceptions.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "d0124543a714507aa802aac0c0aa52d0faa5ba2b27eada9957bbc2aaf60bed68" }, "statement": "NHS England publishes rules determining the people for whom each ICB has core responsibility, including primary-medical-services and usual-residence bases.", "tags": [], "territory": "England", "title": "NHS England publishes rules determining the people for whom each ICB has core responsibility, including primary-medical-services and usual-residence bases.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/14Z31" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Responsible local authorities, partner ICBs, and NHS England must have regard to relevant needs assessments and strategies when exercising specified functions.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-LGPIH-ACT-2007-S116B-CURRENT`, s. 116B" }, "material_id": "material:7bfd8c79f369d00baedce7a9", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Encode `have_regard_to`, not approval, direction, ownership, or veto.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "From 2022-07-01", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "cbde35ad7709527281a0f4ca163106d398d5ce3a13b8072cd4681673ead695f0" }, "statement": "Responsible local authorities, partner ICBs, and NHS England must have regard to relevant needs assessments and strategies when exercising specified functions.", "tags": [], "territory": "England", "title": "Responsible local authorities, partner ICBs, and NHS England must have regard to relevant needs assessments and strategies when exercising specified functions.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2007/28/section/116B" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The 2026 ICB order defines board areas through named local-government areas and, for specified partial areas, lower-layer super output areas.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-ORDER-2026-ICB`, art. 5 and Schedule, PDF pp. 3 to 9" }, "material_id": "material:2184fe00cf626f57cf204369", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire authoritative geospatial boundaries before map rendering.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "From 2026-04-01", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 10, "response_sha256": "a32abd086fe7929ddf0e3fe158e2e01d611bdc2293b6dc494b91f634ba7144ae" }, "statement": "The 2026 ICB order defines board areas through named local-government areas and, for specified partial areas, lower-layer super output areas.", "tags": [], "territory": "England", "title": "The 2026 ICB order defines board areas through named local-government areas and, for specified partial areas, lower-layer super output areas.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.england.nhs.uk/wp-content/uploads/2022/05/integrated-care-board-establishment-and-abolition-order-2026.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The July 2026 independent-provider register contains 158 licensed independent-provider legal-entity rows.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ENG-INDEPENDENT-PROVIDER-REGISTER-2026-07`, sheet `Monitor Public Register" }, "material_id": "material:74e73f123fe121cf9bc8d728", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Establish register inclusion rules and never extrapolate to the whole private market.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator." ], "origin": "candidate-claim-qa-queue", "period": "July 2026 snapshot", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "The July 2026 independent-provider register contains 158 licensed independent-provider legal-entity rows.", "tags": [], "territory": "England", "title": "The July 2026 independent-provider register contains 158 licensed independent-provider legal-entity rows.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.england.nhs.uk/wp-content/uploads/2019/04/register-of-licensed-independent-providers-july-26.xlsx" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The July 2026 official NHS trust register contains 142 foundation-trust legal-entity rows and 60 NHS-trust legal-entity rows.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ENG-NHS-TRUST-REGISTER-2026-07`, sheets `Foundation Trusts` and `Trusts" 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stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator." ], "origin": "candidate-claim-qa-queue", "period": "July 2026 snapshot", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": {}, "statement": "The July 2026 official NHS trust register contains 142 foundation-trust legal-entity rows and 60 NHS-trust legal-entity rows.", "tags": [], "territory": "England", "title": "The July 2026 official NHS trust register contains 142 foundation-trust legal-entity rows and 60 NHS-trust legal-entity rows.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.england.nhs.uk/wp-content/uploads/2019/04/registers-of-licensed-healthcare-providers-nhs-trusts-and-foundation-trusts-july-2026.xlsx" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The Secretary of State may establish NHS trusts by order to provide goods or services for the health service.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-NHS-ACT-2006-S25-CURRENT`, s. 25" }, "material_id": "material:7f01ad90de3a6a61faecd6f4", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Acquire entity establishment, transfer, merger, and dissolution orders.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Current text through 2026-08-09", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "e9ec16cd09374ad4857e781d4940a96c0ed0d65d096718eeaa6d75a626e3de82" }, "statement": "The Secretary of State may establish NHS trusts by order to provide goods or services for the health service.", "tags": [], "territory": "England", "title": "The Secretary of State may establish NHS trusts by order to provide goods or services for the health service.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.legislation.gov.uk/ukpga/2006/41/section/25" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "The official May 2026 impact assessment describes abolition of NHS England as a proposal, not an enacted change to the current organization graph.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "ENG-PROPOSAL-2026-HEALTH-BILL-IA" }, "material_id": "material:427f91e43b8723cb3e92b487", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Monitor the bill, Royal Assent, commencement, transfer, and transition instruments.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "The public source URL is linked from a displayed fact-projection stage with the exact same country and statement; this stage retains its own locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "Published 2026-05-14", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_statement_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6e9ce754ef3886d72ee75ce2a4bd1972b4fd4ee8c4fe6b6f70d0efd5747ad945" }, "statement": "The official May 2026 impact assessment describes abolition of NHS England as a proposal, not an enacted change to the current organization graph.", "tags": [], "territory": "England", "title": "The official May 2026 impact assessment describes abolition of NHS England as a proposal, not an enacted change to the current organization graph.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement match across displayed pipeline stages", "url": "https://www.gov.uk/government/publications/health-bill-abolishing-nhs-england-impact-assessment" }, { "kind": "resolved_document", "source": "single-country score-improvement acquisition", "url": "https://assets.publishing.service.gov.uk/media/6a02fe2bcd2e0e8b5b20b455/health-bill-abolishing-nhs-england-impact-assessment.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Thirty-six ICBs form the effective England configuration from 2026-04-01 after 12 boards were abolished, six were established, other boards continued, and the earlier establishment orders were revoked.", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "`ENG-ORDER-2026-ICB`, arts. 2 to 7 and explanatory note, PDF pp. 2 to 10; `ENG-ICB-REGISTER`, updated 2026-04-01" }, "material_id": "material:ebe5bb5bd52a3d7d3d7fedd2", "notes": [ "Heuristic flags are prompts for annotation and do not alter the displayed source record.", "Verify no later order altered the configuration for the selected date.", "Administrative boundaries do not establish service territories", "Do not infer territorial responsibility from administrative boundaries.", "territorial evidence identifying the service geography type, responsible actors, providers or networks, period, and geospatial or textual basis.", "Common ownership does not establish service integration", "Do not infer integration from common ownership.", "evidence of shared governance, pathways, records, teams, coordination, population responsibility, joint planning, or another registered integration mechanism.", "Facility count does not establish private-sector dominance", "Do not infer private dominance from facility count alone.", "sector-specific evidence with explicit denominators and a stated meaning for ownership, capacity, activity, expenditure, or service role.", "Federalism does not establish operational decentralization", "Do not infer decentralization from federalism alone.", "function-specific decision-right evidence naming the actor, role, territory, provider scope, and valid period.", "Legal authority does not establish implementation", "Do not infer implementation from legal authority.", "reported or observed evidence of implementation with compatible jurisdiction, provider scope, territory, and period.", "Ownership does not establish provider autonomy", "Do not infer provider autonomy from ownership alone.", "decision-domain evidence identifying the provider's authority, constraints, autonomous-from actor, accountability mechanism, and period.", "Primary care presence does not establish gatekeeping", "Do not infer gatekeeping from primary care presence.", "evidence of registration, first-contact rules, referral requirements, bypass conditions, patient choice, and applicable scope.", "Provider count does not establish competition", "Do not infer competition from provider count.", "competition evidence with a defined market, dimension, denominator, territory, period, and limitations.", "Referral policy does not establish observed compliance", "Do not infer referral compliance from referral policy.", "observed evidence of referrals, bypass, leakage, patient flow, compliance, or implementation for a compatible territory and period.", "Reporting does not establish accountability", "Do not infer accountability from reporting alone.", "evidence naming the accountable organization, accountability mechanism, decision scope, period, and any enforcement or consequence.", "multiple_predicate_markers", "The public source URL is linked from a displayed fact-projection stage with the exact same country, statement, and locator.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "candidate-claim-qa-queue", "period": "From 2026-04-01", "publication_date": null, "publication_year": null, "record_kind": "claim_quality_review_record", "record_kind_label": "Claim Quality Review Record", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "source_url_linked_by_exact_stage_lineage": true, "source_version_linked_from_country_score_acquisition": true, "status": "needs_review" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "page_count": 10, "response_sha256": "a32abd086fe7929ddf0e3fe158e2e01d611bdc2293b6dc494b91f634ba7144ae" }, "statement": "Thirty-six ICBs form the effective England configuration from 2026-04-01 after 12 boards were abolished, six were established, other boards continued, and the earlier establishment orders were revoked.", "tags": [], "territory": "England", "title": "Thirty-six ICBs form the effective England configuration from 2026-04-01 after 12 boards were abolished, six were established, other boards continued, and the earlier establishment orders were revoked.", "urls": [ { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.england.nhs.uk/publication/integrated-care-boards-in-england/" }, { "kind": "exact_stage_lineage", "source": "Exact Statement And Locator match across displayed pipeline stages", "url": "https://www.england.nhs.uk/wp-content/uploads/2022/05/integrated-care-board-establishment-and-abolition-order-2026.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Devolution in Pakistan : an assessment and recommendations for action (Vol. 3 of 3) : Annex 2: technical considerations. 2004. https://documents1.worldbank.org/curated/en/861441468774954069/pdf/299121PK1vol-03.pdf", "country_ids": [ "GBR" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "concern concerning local government autonomy in preparing the development budget is that", "institution": null, "locator": { "physical_pdf_page": 9, "source_word_anchor": "concern concerning local government autonomy in preparing the development budget is that", "source_word_count": 12 }, "material_id": "material:cd5ca269635092bfa53cb996", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 2004, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "0079a2b389b5598fbd859d7830cb51e99c7784bdbd9b5308a28611152fce3f0f", "page_count": 74, "text_sha256": "b92ba0fe1acd8a3942971a4d5762b5018a5bb9cf9471c04ad0d69f9d18a007ef" }, "statement": null, "tags": [ "control_knob:organization", "language:en", "source:World Bank Documents and Reports", "source_layer:global_literature" ], "territory": null, "title": "Devolution in Pakistan : an assessment and recommendations for action (Vol. 3 of 3) : Annex 2: technical considerations", "urls": [ { "kind": "stable_source_url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/861441468774954069/pdf/299121PK1vol-03.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England. About us. Accessed 22 August 2026. https://www.england.nhs.uk/about/", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "NHS England leads the National Health Service", "institution": "NHS England", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "NHS England leads the National Health Service", "source_word_count": 7 }, "material_id": "material:1321bedc8dea653204a52890", "notes": [ "The page supports an England-level role only. It does not establish the decision rights of every integrated care board, trust or individual provider." ], "origin": "country-evidence-improvement-sources", "period": "Organisation page accessed 22 August 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "5a06b056f71c01d14972ed9429cb190917072319e3a809834907640e1b052726" }, "statement": "NHS England states that it leads the National Health Service in England and describes regional teams that support healthcare-service commissioning.", "tags": [], "territory": "England", "title": "About us", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.england.nhs.uk/about/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Department of Health and Social Care. Department of Health and Social Care. GOV.UK. Accessed 22 August 2026. https://www.gov.uk/government/organisations/department-of-health-and-social-care", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "governance", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "support ministers in leading the nation’s health and social care", "institution": "Department of Health and Social Care", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "support ministers in leading the nation’s health and social care", "source_word_count": 10 }, "material_id": "material:15bff6d74200a84a22a4b581", "notes": [ "The page states a ministerial-department role but does not allocate service responsibilities across England, Scotland, Wales or Northern Ireland." ], "origin": "country-evidence-improvement-sources", "period": "Organisation page accessed 22 August 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "ef1630587aa66e17653dfdfc60aad1919f198ffebaa220e2fa454d8547de2287" }, "statement": "DHSC describes itself as a ministerial department that supports ministers in leading the nation's health and social care.", "tags": [], "territory": "United Kingdom; the page does not allocate devolved health-service responsibilities", "title": "Department of Health and Social Care", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gov.uk/government/organisations/department-of-health-and-social-care" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "UK Parliament. Health and Care Act 2022: Explanatory Notes, Annex A: Territorial extent and application in the United Kingdom. 2022. https://www.legislation.gov.uk/ukpga/2022/31/notes/division/13/index.htm", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Health policy and funding are controlled", "institution": "UK Parliament", "locator": { "locator_type": "legislation_explanatory_notes", "source_word_anchor": "Health policy and funding are controlled", "source_word_count": 6 }, "material_id": "material:f4a158fad4f1c0e579e27db1", "notes": [ "This source establishes a constitutional allocation, not a common operational model across the four nations or an allocation of every procurement, staffing or capital decision." ], "origin": "country-evidence-improvement-sources", "period": "Explanatory notes published with the 2022 Act", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "5b3f7eaabc681c4782fd0a79834f938803a56a8bbc07ad9f24be60e14ac18563" }, "statement": "The explanatory notes state that health policy and funding are controlled by the respective devolved administrations and identify health as within the competence of Welsh, Scottish and Northern Irish devolved institutions, subject to stated exceptions.", "tags": [], "territory": "United Kingdom; Scotland, Wales and Northern Ireland", "title": "Health and Care Act 2022: explanatory notes, territorial extent and legislative competence", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.legislation.gov.uk/ukpga/2022/31/notes/division/13/index.htm" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "OECD. Health at a Glance 2023: United Kingdom. OECD Publishing; 2023. https://www.oecd.org/content/dam/oecd/en/publications/reports/2025/07/health-at-a-glance-2023_39bcb58d/united-kingdom_37e344b2/54aa5137-en.pdf", "country_ids": [ "GBR" ], "coverage_domains": [ "authoritative_review", "facility_data", "market_structure", "ownership", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "How does the United Kingdom perform", "institution": "Organisation for Economic Co-operation and Development", "locator": { "locator_type": "pdf_section_anchor", "source_word_anchor": "How does the United Kingdom perform", "source_word_count": 6 }, "material_id": "material:9bec79eb75b495818535b5f2", "notes": [ "Comparable UK aggregates cannot be used to infer each nation’s provider ownership, referral design, patient choice or provider autonomy." ], "origin": "country-evidence-improvement-sources", "period": "Health at a Glance 2023 country note", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "99e1c19b7c82f127b65e3ca2aaa1fac9b61f3db5f1cf7a0639170aa8a42bc405" }, "statement": "The OECD country note presents internationally comparable United Kingdom indicators and explicitly notes that its figures are drawn from the Health at a Glance 2023 indicator set; it is used as a bounded descriptive synthesis rather than a four-nation governance map.", "tags": [], "territory": "United Kingdom", "title": "Health at a Glance 2023: United Kingdom", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.oecd.org/content/dam/oecd/en/publications/reports/2025/07/health-at-a-glance-2023_39bcb58d/united-kingdom_37e344b2/54aa5137-en.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Dayan M, Kumpunen S, Reed S, Richardson E, eds. Health systems in action 2024: United Kingdom. European Observatory on Health Systems and Policies; 2024. https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-united-kingdom", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "observed_referral", "ownership", "patient_flows", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "designs, delivers and regulates services differently", "institution": "European Observatory on Health Systems and Policies, WHO Europe", "locator": { "locator_type": "publication_landing_page_anchor", "source_word_anchor": "designs, delivers and regulates services differently", "source_word_count": 6 }, "material_id": "material:4f90774cef1312a8eff26909", "notes": [ "Use this as a four-nation synthesis and time-bound access context. Do not turn its UK overview into nation-specific provider ownership, contractual authority, referral completion or patient-choice estimates." ], "origin": "country-evidence-improvement-sources", "period": "Health Systems in Action 2024; published 4 December 2024", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f3bff9e47f22c231b522ae8bb51a251db93e96eb87954e27ba62e2404c423523" }, "statement": "The Observatory overview says that each of the four UK nations has devolved health and social-care responsibilities and designs, delivers and regulates services differently. It reports planned-hospital waits and worsening primary-care appointment access as UK-level synthesis context.", "tags": [], "territory": "United Kingdom, explicitly distinguishing England, Scotland, Wales and Northern Ireland", "title": "Health systems in action 2024: United Kingdom", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://eurohealthobservatory.who.int/publications/i/health-systems-in-action-united-kingdom" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Scottish Government. Health workforce. Accessed 21 August 2026. https://www.gov.scot/policies/health-workforce/", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "facility_data", "governance", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "All NHS Boards are accountable to Scottish Ministers", "institution": "Scottish Government", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "All NHS Boards are accountable to Scottish Ministers", "source_word_count": 8 }, "material_id": "material:5ea7299eb424b5edf3f4cb05", "notes": [ "This shows a national-board accountability relationship, not a hospital-site or general-practice decision-right matrix for finance, procurement, staffing, capital or service mix." ], "origin": "country-evidence-improvement-sources", "period": "Page accessed 21 August 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "b06ef12ecfce2b28e8173f84476ad0a31a94d2b1cfa860a4323bdaa45ce21579" }, "statement": "The Scottish Government states that NHSScotland staff work across 14 regional NHS Boards, seven Special NHS Boards and one public health body, and that all NHS Boards are accountable to Scottish Ministers.", "tags": [], "territory": "Scotland", "title": "Health workforce", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gov.scot/policies/health-workforce/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Scottish Government. Health and Social Care in Scotland: NHS Delivery, a new national delivery organisation, consultation. 2025. https://www.gov.scot/publications/public-consultation-nhs-delivery-new-national-delivery-organisation-lead-transformation-health-social-care-system/pages/3/", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "14 territorial NHS Boards", "institution": "Scottish Government", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "14 territorial NHS Boards", "source_word_count": 4 }, "material_id": "material:a17c49ca04601d5cce017536", "notes": [ "As a consultation, this is used for its stated current-system description and proposed reform context, not as proof that every proposal has been implemented." ], "origin": "country-evidence-improvement-sources", "period": "Consultation published 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "1e408ca281ed2bfcbee544e80527c4ef5c368b0a77a5dc1f277f11077cb77465" }, "statement": "The consultation describes NHS Scotland as including 14 territorial NHS boards responsible for frontline healthcare, including hospitals, and states that boards are accountable to Scottish Ministers through the Scottish Government Health and Social Care Directorates.", "tags": [], "territory": "Scotland", "title": "NHS Scotland: a new national delivery organisation, consultation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gov.scot/publications/public-consultation-nhs-delivery-new-national-delivery-organisation-lead-transformation-health-social-care-system/pages/3/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS Wales Performance and Improvement. National Vascular Implementation Network. Accessed 22 August 2026. https://performanceandimprovement.nhs.wales/functions/networks-and-planning/vascular/", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "hospital_organization", "ownership" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "seven local health boards and three NHS trusts", "institution": "NHS Wales Performance and Improvement", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "seven local health boards and three NHS trusts", "source_word_count": 8 }, "material_id": "material:cfa44afb9d537e952024d33c", "notes": [ "This page identifies Welsh NHS organisation types and a stated board role. It does not quantify public-private provision, allocate all commissioning authority or establish the structure of England, Scotland or Northern Ireland." ], "origin": "country-evidence-improvement-sources", "period": "Page accessed 22 August 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f68e8d50966d5e59b6917560dadc5b880a9cb17ae7944b88e653572e1ee67664" }, "statement": "NHS Wales Performance and Improvement states that NHS Wales comprises seven local health boards and three NHS trusts, and that each board plans and delivers healthcare in its area.", "tags": [], "territory": "Wales", "title": "National Vascular Implementation Network", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://performanceandimprovement.nhs.wales/functions/networks-and-planning/vascular/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Department of Health Northern Ireland. Northern Ireland Health and Social Care Workforce Census, March 2026. 2026. https://www.health-ni.gov.uk/news/ni-health-and-social-care-workforce-census-march-2026", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "facility_data", "governance", "hospital_organization", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "staff in post by occupational family", "institution": "Department of Health Northern Ireland", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "staff in post by occupational family", "source_word_count": 6 }, "material_id": "material:1e52306dd8212831fcce5738", "notes": [ "The census is Northern Ireland-specific and reports workforce, not patient flows, ownership shares, provider autonomy or UK-wide capacity." ], "origin": "country-evidence-improvement-sources", "period": "Workforce position at 31 March 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f3ce81a92ef50cf28f3ff5434fd9de0c77db7d9366a5a91952fda809fb449259" }, "statement": "The Department's workforce census reports staff in post by occupational family and organisation across most Northern Ireland Health and Social Care hospital, community and social services, with stated inclusions and exclusions.", "tags": [], "territory": "Northern Ireland", "title": "Northern Ireland Health and Social Care Workforce Census, March 2026", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health-ni.gov.uk/news/ni-health-and-social-care-workforce-census-march-2026" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England. Referral to Treatment Waiting Times. Accessed 21 August 2026. https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/", "country_ids": [ "GBR" ], "coverage_domains": [ "hospital_organization", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Consultant-led Referral To Treatment", "institution": "NHS England", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "Consultant-led Referral To Treatment", "source_word_count": 4 }, "material_id": "material:8936cd97f50e1e74cac2d08d", "notes": [ "RTT is an England consultant-led elective pathway measure. It does not quantify referral completion, bypassing, gatekeeping or waiting in Scotland, Wales or Northern Ireland." ], "origin": "country-evidence-improvement-sources", "period": "Monthly statistics page accessed 21 August 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "25338d652aebd1038b04a21aeb620c9388b7b158a5715cd15638da53c76f18e5" }, "statement": "NHS England publishes monthly statistics for consultant-led referral-to-treatment pathways, including incomplete and completed admitted and non-admitted pathways, with a series extending from 2007 as described on the page.", "tags": [], "territory": "England", "title": "Referral to Treatment Waiting Times", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS. Referrals for specialist care. Accessed 21 August 2026. https://www.nhs.uk/nhs-services/hospitals/referrals-for-specialist-care/", "country_ids": [ "GBR" ], "coverage_domains": [ "governance", "hospital_organization", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Generally, you cannot self-refer to a specialist", "institution": "NHS", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "Generally, you cannot self-refer to a specialist", "source_word_count": 7 }, "material_id": "material:e09010340e20f3d1a7479936", "notes": [ "Keep the stated exceptions and England qualifier. This public-information description is not a referral-completion, bypass, counter-referral or waiting-performance dataset for all four nations." ], "origin": "country-evidence-improvement-sources", "period": "Page accessed 21 August 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "86331d61035016716c1fd06d2f6a4f2a7045b762ecddc3d6b598eca7071dada8" }, "statement": "The NHS public-information page says specialist NHS care normally follows referral by a GP or another health professional, with specified self-referral exceptions. It states that a qualifying first outpatient referral may carry a choice of hospital in England.", "tags": [], "territory": "England for hospital-choice and waiting-right statements; NHS public-information page otherwise requires territorial caution", "title": "Referrals for specialist care", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.nhs.uk/nhs-services/hospitals/referrals-for-specialist-care/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Anderson M, Pitchforth E, Edwards N, Alderwick H, McGuire A, Mossialos E, eds. United Kingdom: health system review 2022. Health Systems in Transition. 2022;24(1). https://eurohealthobservatory.who.int/publications/i/united-kingdom-health-system-review-2022", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "patient_flows", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Four separate health care systems", "institution": "European Observatory on Health Systems and Policies", "locator": { "locator_type": "publication_landing_page_anchor", "source_word_anchor": "Four separate health care systems", "source_word_count": 5 }, "material_id": "material:df11f3a5a703f1c44a32c627", "notes": [ "Retain the 2022 review date. Do not use its UK synthesis as current proof of a specific trust, board, facility, referral rule or private-sector share." ], "origin": "country-evidence-improvement-sources", "period": "Health Systems in Transition 2022; published 11 May 2022", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "6c11ac582f409230e55e358be9bed10282e084bfae553d214e0284fb99d125a7" }, "statement": "The Health Systems in Transition review describes four separately organised health systems and reports that Northern Ireland is the only constituent country with NHS and social care fully organisationally integrated. It is a 2022 synthesis rather than current local operational evidence.", "tags": [], "territory": "United Kingdom, with four separately organised national systems", "title": "United Kingdom: health system review 2022", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://eurohealthobservatory.who.int/publications/i/united-kingdom-health-system-review-2022" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England. What is integrated care? Accessed 21 August 2026. https://www.england.nhs.uk/integratedcare/what-is-integrated-care/", "country_ids": [ "GBR" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "responsible for planning health services", "institution": "NHS England", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "responsible for planning health services", "source_word_count": 5 }, "material_id": "material:9fdb84caf69de4de145e52e3", "notes": [ "This is an England-only statutory and partnership description. It does not assign every trust or practice a fixed autonomy level, or describe the Scottish, Welsh or Northern Irish arrangements." ], "origin": "country-evidence-improvement-sources", "period": "Page accessed 21 August 2026; statutory arrangements described as established 1 July 2022", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "4c51e6e8d720488107e522da7c56651887f85c4fb7046a04c77de94173332753" }, "statement": "NHS England describes integrated care systems as England-wide local partnerships. It states that integrated care boards are NHS organisations responsible for planning local health services, while integrated care partnerships develop long-term strategies.", "tags": [], "territory": "England", "title": "What is integrated care?", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.england.nhs.uk/integratedcare/what-is-integrated-care/?ContensisTextOnly=true" }, { "kind": "embedded_source_url", "source": "URL supplied in citation", "url": "https://www.england.nhs.uk/integratedcare/what-is-integrated-care/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NHS England. Working in partnership. 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