Creating ICB Solutions with Salesforce
Clear pathways. Better coordination. Control across complex systems.

Integrated Care Boards (ICBs) are statutory NHS organisations responsible for planning, commissioning, and funding health services for a defined population. Established in July 2022 as part of the NHS move towards integrated care systems, ICBs sit at the centre of some of the most complex decision making in the health system.
They are responsible for deciding what services are needed, where investment is directed, and how care is delivered across pathways that span multiple organisations. To do this well, ICBs need visibility, coordination, and confidence in their data.
Skyflo helps ICBs use Salesforce as a system-wide coordination layer, bringing pathways, caseloads, and decision making into one secure, governed platform that supports how integrated care actually works.
Commissioning and Managing Care Across Pathways

ICBs commission hospital and acute services, community health services, mental health services, Continuing Healthcare, and primary care, often through delegated responsibility from NHS England.
Salesforce supports this by providing a single platform where pathways can be designed, managed, and monitored across organisations.
This enables ICBs to:
- Track patients across entire pathways, not just within individual providers
- See where delays occur and where responsibility sits
- Understand how demand moves across services
- Maintain a clear record of commissioning and funding decisions
This shifts oversight from fragmented reporting to real operational visibility.
Improving Population Health with Joined-Up Data
ICBs are responsible for improving outcomes for defined populations, reducing health inequalities, and supporting prevention and early intervention.
Salesforce enables population health management by bringing together data from multiple organisations into a single, trusted view.
ICBs can:
- Segment populations based on need and risk
- Identify gaps in access or outcomes
- Track interventions across services
- Move beyond activity reporting to outcome-led insight
This allows population health strategies to be grounded in real data, not assumptions.
Financial Control and Evidence for Decision Making
Frontline staff need clear, reliable information when responding to emergencies.
With Salesforce, teams can:
- Access relevant information securely via mobile or desktop
- See safeguarding flags and support needs immediately
- Record actions and updates in real time
- Work with confidence under pressure
This reduces uncertainty and supports better decision-making in critical moments.
Coordinating Care Across Organisations

One of the hardest challenges for ICBs is coordinating care across NHS trusts, primary care networks, local authorities, social care, and voluntary sector partners.
Salesforce acts as a coordination layer that sits above existing clinical systems.
This allows ICBs to:
- Share the right information with the right teams
- Maintain clear ownership across organisational boundaries
- Support MDT working across providers
- Reduce delays caused by poor handoffs
Importantly, this is achieved without replacing core clinical systems.
Supporting Clinicians and Staff, Not Adding Burden
ICBs are acutely aware of workforce pressure and burnout. Any digital solution must reduce admin and support professional judgement.
Salesforce helps by:
- Reducing duplication and manual data handling
- Improving information flow across services
- Supporting MDT coordination and preparation
- Making pathways and responsibilities clear
Technology that simplifies work is adopted. Technology that adds friction is not.
Governance, Security, and Trust Built In
ICBs need absolute confidence in the systems they use.
Built on Salesforce, Skyflo solutions provide:
- Role-based access controls
- Full audit trails of actions and decisions
- Secure handling of sensitive patient data
- Reporting aligned to regulatory requirements
This supports scrutiny, inspection readiness, and organisational trust.
Start Small and Scale Safely
ICBs are acutely aware of workforce pressure and burnout. Any digital solution must reduce admin and support professional judgement.
Salesforce helps by:
- Reducing duplication and manual data handling
- Improving information flow across services
- Supporting MDT coordination and preparation
- Making pathways and responsibilities clear
Technology that simplifies work is adopted. Technology that adds friction is not.
Start Small and Scale with Confidence
ICBs do not want large, high-risk deployments.
Salesforce supports a phased approach, allowing ICBs to:
- Start with a single pathway or cohort
- Pilot with defined services or populations
- Prove value before scaling
- Adapt as policy and demand change
This reduces risk while building confidence and capability over time.
A Platform Designed for Integrated Care
Salesforce is not a clinical system. It is a coordination and orchestration platform.
For ICBs, this means:
- Better visibility across pathways
- Stronger grip on demand and performance
- Clearer accountability across organisations
- A foundation that can evolve as integrated care matures
This is how digital supports integrated care in practice, not just in principle.
Ready to Explore ICB Solutions?
If your ICB is looking to improve coordination, strengthen governance, and gain clearer control across complex pathways, we can help you identify where Salesforce will have the greatest impact.
We will work with you to define a focused, achievable starting point and build from there.
Book a conversation with Skyflo to explore Salesforce solutions for ICBs.