NHS England and NHS Improvement (NHSE/I) published a Guide to developing a scheme of reservation and delegation (SoRD) for integrated care boards (ICBs) on 27 October 2021. This short briefing summarises the new delegation powers expected to be conferred on ICBs in the Health and Care Bill, the likely content of the ICB’s SoRD, and the next steps for ICBs to take when developing their SoRD.