NHS regions: the 42 ICBs
The 42 Integrated Care Boards of England, with national prescribing items and net ingredient cost, April 2026. Coverage this month: 30 of 42 ICBs.
Items dispensed by ICB
National prescribing, April 2026 · top 15, ranked high to low
West Yorkshire
7,872,799
North East and North Cumbria
7,631,420
Greater Manchester
5,946,242
Cheshire and Merseyside
5,458,905
Lancashire and South Cumbria
3,717,217
Humber and North Yorkshire
3,689,439
North East London
3,352,736
South Yorkshire
3,211,395
Hampshire and Isle of Wight
3,155,746
Kent and Medway
2,978,000
Staffordshire and Stoke-on-trent
2,416,931
South East London
2,362,644
Black Country
2,336,599
Nottingham and Nottinghamshire
2,302,976
Birmingham and Solihull
2,292,266
Source: NHSBSA Prescription Cost Analysis · to April 2026 OGL v3.0
82.6Mitems
Across the ICBs shown, April 2026
30
of 42 ICBs reporting this month
Read this carefully
Prescribing volume reflects population size, age and need as much as prescribing behaviour. It is not a measure of quality.
All regions
| Integrated Care Board | Items (latest month) | Net ingredient cost | Dispensing practices |
|---|---|---|---|
| West Yorkshire | 7,872,799 | £65,809,864 | 13 |
| North East and North Cumbria | 7,631,420 | £54,273,316 | 48 |
| Greater Manchester | 5,946,242 | £54,549,638 | 1 |
| Cheshire and Merseyside | 5,458,905 | £50,878,453 | 14 |
| Lancashire and South Cumbria | 3,717,217 | £30,687,937 | 20 |
| Humber and North Yorkshire | 3,689,439 | £29,202,074 | 76 |
| North East London | 3,352,736 | £26,282,374 | 1 |
| South Yorkshire | 3,211,395 | £23,012,880 | 12 |
| Hampshire and Isle of Wight | 3,155,746 | £30,973,921 | 23 |
| Kent and Medway | 2,978,000 | £32,448,680 | 50 |
| Staffordshire and Stoke-on-trent | 2,416,931 | £21,195,317 | 28 |
| South East London | 2,362,644 | £21,150,823 | 0 |
| Black Country | 2,336,599 | £22,839,341 | 1 |
| Nottingham and Nottinghamshire | 2,302,976 | £25,640,584 | 15 |
| Birmingham and Solihull | 2,292,266 | £23,176,725 | 0 |
| South West London | 2,255,463 | £18,107,734 | 0 |
| Leicester, Leicestershire and Rutland | 2,216,186 | £19,243,032 | 19 |
| Devon | 2,203,435 | £18,524,344 | 31 |
| Lincolnshire | 2,030,649 | £14,710,487 | 56 |
| Coventry and Warwickshire | 1,919,695 | £15,903,370 | 23 |
| Derby and Derbyshire | 1,881,816 | £15,475,622 | 18 |
| Bath and North East Somerset, Swindon and Wiltshire | 1,565,911 | £12,827,263 | 29 |
| Northamptonshire | 1,490,578 | £11,586,634 | 23 |
| Herefordshire and Worcestershire | 1,408,997 | £24,859,745 | 32 |
| Bristol, North Somerset and South Gloucestershire | 1,359,516 | £13,081,018 | 5 |
| Dorset | 1,335,425 | £11,450,640 | 18 |
| Gloucestershire | 1,188,067 | £10,885,701 | 29 |
| Cornwall and the Isles of Scilly | 1,148,923 | £9,339,875 | 36 |
| Somerset | 978,157 | £10,042,056 | 20 |
| Shropshire, Telford and Wrekin | 870,625 | £8,291,936 | 18 |
| Bedfordshire, Luton and Milton Keynes | — | — | 20 |
| Buckinghamshire, Oxfordshire and Berkshire West | — | — | 44 |
| Cambridgeshire and Peterborough | — | — | 41 |
| Frimley | — | — | 2 |
| Hertfordshire and West Essex | — | — | 21 |
| Mid and South Essex | — | — | 27 |
| Norfolk and Waveney | — | — | 62 |
| North Central London | — | — | 2 |
| North West London | — | — | 0 |
| Suffolk and North East Essex | — | — | 50 |
| Surrey Heartlands | — | — | 12 |
| Sussex | — | — | 29 |