Health Service Journal reported on 19th April 2023 that the chair of the BOB (Buckinghamshire, Oxfordshire and Berkshire West) Integrated Care System, Javid Khan, formerly CEO of the charity Barnado's, had been placed on extended leave, amid broad concern about his working methods from ICS and other NHS staff. Trust chiefs from the area had planned to complain to NHS England about the lack of engagement by Mr Khan; Six senior executive posts and the CEO position are occupied by interim appointments as staff have left over the past year. BOB ICB staff had the lowest proportion of staff of any ICB who would recommend it as a place to work in the 2022 NHS survey, Health Service Journal reported. While we have had no particular problems with Mr Khan's chairing of meetings, we have observed very slow progress and some unsatisfactory proposals on the division of responsibilities between the ICS central staff and the 3 constituent places. We were also very disappointed that the patient engagement strategy has been so slow in development and there is so little initiative in that area. Vice Chair Sim Scavazza will be standing in as chair for the time being, it is reported.