What ‘Good’ Looks Like to ICBs When Working With Providers

ICBs rarely publish a clear definition of what a “good provider” looks like. Instead, expectations are communicated through behaviour, feedback and commissioning decisions.

Understanding this perspective helps providers align their approach, reduce friction and increase influence.

This connects closely with outcomes and impact measurement and risk management and safeguarding.

Reliability over perfection

ICBs do not expect perfection. They value providers who:

  • Deliver what they commit to
  • Are honest when things go wrong
  • Fix issues quickly and transparently

Reliability builds confidence.

System awareness

Good providers demonstrate:

  • Understanding of wider system pressures
  • Awareness of partner roles and constraints
  • Alignment with system priorities

This shows maturity.

Proportionate challenge

ICBs respect providers who can challenge constructively by:

  • Using evidence rather than opinion
  • Proposing alternatives, not just objections
  • Keeping people’s safety at the centre

This strengthens decision-making.

Clear governance and escalation

Providers are trusted when they:

  • Have clear internal governance
  • Escalate risks early
  • Avoid surprises

Good governance reassures system leaders.

The long view

Ultimately, ICBs value providers who:

  • Think beyond individual contracts
  • Invest in system improvement
  • Act as partners in change

This is what “good” really looks like.


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Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd — bringing extensive experience in health and social care tenders, commissioning and strategy.

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