Our Integrated Care System (ICS) footprint covers 1,347sq miles, but is one of the smallest in terms of population, covering around 500,000 people. We have one Clinical Commissioning Group  covering the area of Shropshire,Telford & Wrekin. the CCG is responsible for buying NHS services for local people. We have two acute hospitals, sited less than 20 miles apart, with services delivered by one acute trust, Shrewsbury and Telford NHS Trust (SaTH). There is also a specialist orthopaedic hospital, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust (RJAH), which provides elective orthopaedic surgery, sited in the north west of the county. Additional providers include a community trust (Shropcom), a mental health trust (MPFT) which covers Shropshire and Staffordshire, and the region is served by the West Midlands Ambulance Service University NHS Foundation Trust (WMAS).

The ICS has two unitary authorities Shropshire Council and Telford & Wrekin Council. The area covered by Shropshire Council is 3,197 square kilometres, or 1,234 square miles. This is 91.7% of the ceremonial county of Shropshire, with the remainder being covered by Telford & Wrekin Council. The footprint has a number of towns, but no major cities. Shropshire has an estimated population of around 310,000 and Telford & Wrekin has an estimated population (for the borough) of around 170,000. Of these, around 150,000 live in Telford itself, making it the largest town within the ICS and it is one of the fastest-growing towns in the United Kingdom. In the Shropshire Council area, Shrewsbury is the largest town with a population of 70,600 with the second largest being Oswestry with a population of just 16,600.

Our ICS area is one of a handful that borders Wales and provides some hospital services for people from the Welsh health system who are external to the ICS footprint. Some residents of mid-Wales therefore rely on the services at SaTH and RJAH.