NHS Norfolk and Waveney Integrated Care Board (the ICB) plans and buys healthcare services for the local population. We spend about £2.5 billion of public money on health services every year in Norfolk and Waveney.

We always want to make sure that as much of our budget as possible is spent on frontline care, so we are always looking at ways we can improve people’s health and work more efficiently. This year we expect to make about £150m of efficiencies by changing how we work and what we do.

However, despite this, the financial position of the NHS is very challenging, both locally and nationally. There are a range of factors that are affecting our finances. These include:

• The recent period of higher inflation which has made the equipment and supplies we buy more expensive.
• It is great that people are living longer and we all welcome that, however, as we age, people are more likely to have more than one health condition and so naturally need more treatment from the NHS.

We know that other public services and the voluntary, community and social enterprise sector are facing similar challenges with their finances too.

There are changes we can and will make to save money that will not impact on the care people receive. We will do everything we can to make efficiencies in order to protect services. However, given the scale of the challenge, we are going to have to make savings, and this will mean making changes to some services. Ultimately, we have a budget and we cannot spend more than that.

We have developed some options about how we could use public money differently and we would like to hear what local people think of them. The options relate to:

• The walk-in centre in Norwich
• The GP out of hours service that covers Norfolk and Waveney
• The Vulnerable Adults Service in Norwich. 

Hear from Executive Medical Director, Dr Frankie Swords

Executive Medical Director, Dr Frankie Swords asks local people to help shape the future of health services.

Find out more about these services

You can learn more about the options we are considering for each of these services, using the buttons below.

Have your say…

• Online: Take part in a short online survey:

• In person: Important update about the drop-in sessions – Postponement of consultation drop-in sessions about changes to health services – Norfolk & Waveney Integrated Care System (ICS

• Post: Paper copies are available on request. If you would like one, please email: nwicb.contactus@nhs.net Please send your completed paper copy to NHS Norfolk and Waveney ICB, County Hall, Martineau Lane, Norwich, NR1 2DH.

If you would like the consultation documents or survey in large print, another language or an alternative format, please contact NHS Norfolk and Waveney ICB. You can contact the ICB by:

          Write to NHS Norfolk and Waveney ICB, County Hall, Martineau Lane, Norwich, NR1 2DH.

          Emailing: nwicb.contactus@nhs.net

          Calling: 01603 595 857

We will need to receive your consultation feedback by 11:59pm on 25 May 2025 to ensure we can include it in the final report. Please this into account for any postal feedback.

How will the final decision be made?

We will publish the full consultation feedback report on our website here.

We will also share the findings of the consultation with the ICB Board and with Norfolk County Council’s Health Overview and Scrutiny Committee.

Taking the feedback into account, the ICB Board will then make a decision when they meet in July 2025. This meeting is held in public so that people can attend, listen and ask questions of the Board if they would like to. Meeting dates, details and papers will be available in advance on our website.

We will work with the current provider of services to inform staff and patients around the decision and next steps.

Key dates