New letter makes the case for VCFSE sector

as NHS local health and care functions are reviewed

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Representatives from the 42 voluntary, community, faith and social enterprise (VCFSE) Alliances operating across England are working together to make the case for the sector in local health and care. Ahead of formally launching later this year, the interim Alliance42 steering group, of which SEL ICB Director for VCSE Collaborations and Partnerships sits on for south east London, has written to the new Chair of NHS England, Dr Penny Dash, and members of the national working group reviewing the functions of local Integrated Care Systems and Boards (ICBs). The review comes following the announcement last month of the abolition of NHS England and significant cuts to local ICBs.

The Alliance42 steering group consists of agreed representatives from each NHS region, nominated by 42 VCFSE Alliances in England – partnerships of VCFSE organisations with the aim of strengthening the sector's voice, influence, and involvement by leveraging their strengths. They have written the letter ahead of Government publishing a new operating model for ICBs next month, asking that the convening power of VCFSE Alliances are fundamental to underpinning ICBs.

The letter calls for the revised ICB operating model to ensure the VCFSE sector is included as a full partner in shaping strategy, governance and in the delivery of that strategy, with ICBs continuing as a systems convenor. This means bringing together cross-sector partners and organisations.

Highlighted in the letter is the substantial contribution of local VCFSE groups and networks to healthy neighbourhoods, as well as the sector’s offer around supporting the work of the NHS, helping to tackle and prevent health inequality. It is vital that the sector is seen as a fundamental building block of medium- and long-term improvement to ensure people are best supported. Moreover, investment in the VCFSE sector presents a clear opportunity for strategic commissioning for the creation of social value.

Our sector’s passion, innovation and values-driven approaches need to be better embraced if we are going to create an effective, integrated, collective culture for improving health and care in all our communities.

Warren Escadale, CEO of the Voluntary Sector Network for the North West of England (VSNW) said:

“We understand our submission has been positively received. However, the proof will be in the updated functions of an ICB which are due out in the next few weeks. We hope that Alliance42, connecting to VCFSE groups in every local health system, can be a powerful voice for our sector’s role in health and care nationally. The aim is that the sector is recognised and invested in as a must-have full partner. It won’t be easy and this is just the first step.”

Read the full letter here.

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Last updated:
May 1, 2025

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New letter makes the case for VCFSE sector

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