As from 1 April 2011, NHS County Durham and NHS Darlington established a Consolidated Joint Board known as the 'Joint Board' which continues to be supported by a single management team led by the Joint Chief Executive. This replaces the Integrated Business Board.

The Joint Board consists of the Chair (Lady Ann Calman) and Vice Chair (Ken Greenfield), five Non-Executive Directors and eight voting Directors, four of whom share two votes.

The chairs and non executive members of NHS County Durham and NHS Darlington continue to represent their localities on the Joint Board.

 NHS County Durham keep their own individual Board as a statutory function only, and delegates all other business to the Joint Board. The statutory Board will meet annually to approve their annual report and accounts.

See Joint board members.