A new snapshot survey of Integrated Care System digital leaders has identified Shared Health and Care Records as their highest digital priority, followed by health provider digitisation. When asked to rank the highest local digital priority the top score was given to 'levelling up lower digital maturity organisations' with second spot given to 'convergence on acute EPRs across the ICS'. When asked what the impact of deep cuts to budgets will have on local ICS digital plans, 25% of respondents said it would have a big impact and 69% said it would have a significant impact. Asked about digital leadership appointed locally, an impressive 69% said that they had appointed a chief digital information officer; while half had appointed a CCIO; but none had yet appointed a CNIO. The small-scale survey suggests there may be a serious under-representation of nursing digital leaders within ICSs. The survey was undertaken by Digital Health on behalf of the ICS Digital Council, a new two-year