67 new clinical commissioning groups given green light to take control of NHS budgets

NHS Commissioning Board authorises second wave of clinical commissioning groups, taking total to 101, serving more than 28 million people

Local clinicians have now been given the green light to take control of the NHS budget in almost half of England’s local health communities, the new independent NHS Commissioning Board announced today.

The NHS Commissioning Board said it had authorised 67 further organisations – called clinical commissioning groups (CCGs) – to commission healthcare services for their communities. The first 34 CCGs were authorised in December 2012.

A total of 211 CCGs will, from1 April 2013, be responsible for £65 billion of the £95 billion NHS commissioning budget. The remaining 110 CCGs are set for authorisation over the next two months.

The second wave of CCGs, which have all completed a rigorous five-month assessment, will in total plan and commission hospital, community health and mental health services on behalf of more than 18 million people. The 34 CCGs authorised last month will serve a total of around 10 million people.

Dame Barbara Hakin, the NHS Commissioning Board’s National Director: Commissioning Development, said: “Almost half of the CCGs are now authorised and we are moving at pace towards a clinically-led NHS that is focused on delivering improved health outcomes, quality, innovation and public participation.

“The vast majority of these 67 new organisations have demonstrated excellence and a very high level of achievement and are clearly ready for the challenge of leading their local health communities in partnership with the public and with local partner organisations. Many have been commissioning services for one or two years already and are making a significant difference to local health and care services.

“Authorisation is just the beginning: these new organisations will continue to develop, and I am confident patients will start to see real benefits in their local areas as CCGs begin to realise their potential.”

CCGs, set up by the Health and Social Care Act 2012, will from April 2013 replace the 152 primary care trusts that currently commission healthcare services. They are independent statutory bodies, led by their members: the GP practices in their area.

All 8,000-plus GP practices in England will be members of a CCG, putting the majority of the NHS budget in the control of frontline clinicians for the first time.

The NHS Commissioning Board is responsible for ensuring CCGs meet and maintain standards – as set out in the Health and Social Care Act 2012, the NHS Constitution and the NHS Outcomes Framework.

Authorisation is granted after experts have ensured the CCG is safe and effective through a rigorous assessment and assurance process which includes reviewing the CCG’s policies, carrying out detailed site visits, interviewing and assessing its leaders and assessing its work with stakeholders and patients.

The NHS Commissioning Board stresses that it expects the development and improvement of all CCGs – including those fully authorised – to continue up to April, as well as beyond.

Nineteen of the 67 CCGs in the second wave have been authorised with no conditions, meaning they fully met all 119 authorisation criteria.  A further 45 CCGs have been authorised with conditions, meaning they will continue to receive some formal support to help them continue their development so that they also fully meet the criteria in all areas.

Three CCGs – NHS Nene CCG, NHS Herts Valleys CCG, and NHS Medway CCG- will be authorised to take control of their commissioning budgets, but with more intensive support. This will be provided by the NHS Commissioning Board or neighbouring CCGs and will be underpinned by legal directions.

Dame Barbara Hakin said: “CCGs will have wide-ranging responsibilities and will manage very large budgets, so it is vital that they are robust and capable of making important decisions. The NHS Commissioning Board has a duty to ensure CCGs have that capability across all their responsibilities, and we take that duty very seriously.

“CCGs have made fantastic progress in a very short time. It has always been clear that some of the new organisations would be at different stages to others, often dependent on their previous commissioning activities. The NHS Commissioning Board has the mechanisms in place to give them all the support they need and we can assure the communities in these areas that health commissioning will be done to the same high standard as elsewhere.

“At the point of authorisation, a CCG has sufficient building blocks in place to become a mature and developed commissioning organisation. Even those CCGs authorised with no conditions at all will be working to make further improvements in the future, and the NHS Commissioning Board will continue to support all CCGs in their development.”

The 67 CCGs authorised in Wave 2 are:

  • NHS Airedale, Wharfedale and Craven CCG
  • NHS Blackburn with Darwen CCG
  • NHS Bradford City CCG
  • NHS Bradford Districts CCG
  • NHS Brent CCG
  • NHS Brighton and Hove CCG
  • NHS Bromley CCG
  • NHS Cambridgeshire and Peterborough CCG
  • NHS Central London (Westminster) CCG
  • NHS Chorley and South Ribble CCG
  • NHS Coastal West Sussex CCG
  • NHS Crawley CCG
  • NHS Dartford Gravesham and Swanley CCG
  • NHS Durham Dales, Easington and Sedgefield CCG
  • NHS Ealing CCG
  • NHS East Lancashire CCG
  • NHS Eastern Cheshire CCG
  • NHS Fareham & Gosport CCG
  • NHS Fylde and Wyre CCG
  • NHS Greater Huddersfield CCG
  • NHS Greater Preston CCG
  • NHS Hammersmith & Fulham CCG
  • NHS Harrow CCG
  • NHS Hartlepool and Stockton-on-Tees CCG
  • NHS Herts Valleys CCG
  • NHS Horsham and Mid Sussex CCG
  • NHS Hounslow CCG
  • NHS Hull CCG
  • NHS Isle of Wight CCG
  • NHS Lambeth CCG
  • NHS Leeds North CCG
  • NHS Leeds South and East CCG
  • NHS Leeds West CCG
  • NHS Lewisham CCG
  • NHS Lincolnshire West CCG
  • NHS Medway CCG
  • NHS Milton Keynes CCG
  • NHS Nene CCG
  • NHS North East Essex CCG
  • NHS North East Hampshire and Farnham CCG
  • NHS North Lincolnshire CCG
  • NHS NorthWest Surrey CCG
  • NHS Northumberland CCG
  • NHS Nottingham City CCG
  • NHS Nottingham North & East CCG
  • NHS Nottingham West CCG
  • NHS Redditch & Bromsgrove CCG
  • NHS Rushcliffe CCG
  • NHS Salford CCG
  • NHS Sheffield CCG
  • NHS South Cheshire CCG
  • NHS South Devon and Torbay CCG
  • NHS South Eastern Hampshire CCG
  • NHS South Sefton CCG
  • NHS South Tees CCG
  • NHS South Worcestershire CCG
  • NHS Southport & Formby CCG
  • NHS Southwark CCG
  • NHS Stockport CCG
  • NHS Sunderland CCG
  • NHS Swindon CCG
  • NHS Telford and Wrekin CCG
  • NHS Vale Royal CCG
  • NHS Walsall CCG
  • NHS West Hampshire CCG
  • NHS West London (Kensington and Chelsea, Queen’s Park and Paddington) CCG
  • NHS Wyre Forest CCG

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  1. Andrew Richardson says:

    Following on from Shabinas comment on the 13th of February do you know if any further information is available on individual CCG’s decision of IVF treatments – in our case specifically for lower age limits in the Fareham and Gosport CCG? I have seen the fact sheet on anther site and am interested if my CCG will follow
    NICE guidelines as outlined.

    • Simon@NHS CB says:

      Hi Andrew
      Thank you for your comment. For information on individual clinical commissioning group decisions you would need to contact the CCG directly. You can contact Fareham and Gosport CCG through their website.

      Kind regards

      Digital Communications Officer
      NHS Commissioning Board

  2. Adrian Lambourne says:

    Is there a list somewhere of which CSUs are linked with which CCGs ?

    Many thanks

    Adrian Lambourne

    • Simon@NHS CB says:

      Hi Adrian
      Thank you for your comment. As commissioning support units (CSUs) are developing into customer-driven businesses, that are capable of being independent, the NHS Commissioning Board does not yet hold accurate information about which clinical commissioning groups are contracting with which CSUs. We will be collecting this information prior to the hosting period which commences in April 2012. You could also contact your local CSU directly for this information.

      Kind regards

      Digital Communications Officer
      NHS Commissioning Board

  3. Shabina Begum says:

    Hi, How will IVF funding be looked at because at present depending on your location you can get funding for 1,2 or 3 full cycles. So will this be down to the GP to decide or the CCG?

    • Simon@NHS CB says:

      Hi Shabina
      Thank you for your question. Clinical commissioning groups will be responsible for commissioning infertility services from 1 April 2013 and will set local policies whilst having regard to the National Institute for Health and Clinical Excellence (NICE) clinical guideline on fertility.

      The NHS CB will shortly be publishing a factsheet on the commissioning of infertility services. This is designed to share key knowledge and understanding related to commissioning these types of services as well as highlighting the recent changes relevant to commissioning of infertility services. I’ll update this comment with the link once it’s published.

      Kind regards

      Digital Communications Officer
      NHS Commissioning Board

  4. Sarah says:

    Hi, can you tell me what ‘wave’ county durham comes under please?

    • Simon@NHS CB says:

      Hi Sarah
      Thank you for your comment. NHS Durham Dales, Easington and Sedgefield CCG is in wave 2, and NHS North Durham CCG is in wave 4 of the application waves for CCG authorisation. You can use our CCG maps to see which areas they cover and you can find out more information on the authorisation process in our CCG authorisation key facts page.

      Kind regards

      Digital Communications Officer
      NHS Commissioning Board

  5. Keith says:

    How will MH care be commissioned from private providers? Will CCG’s have separate contracts with private providers as PCT’s do at the moment or will responsibility for all contracts be handed over to a single Specialist Commissioning group?

    • Simon@NHS CB says:

      Hi Keith
      Thank you for your comment. Clinical commissioning groups will be responsible for commissioning mental health care, and they will hold mental health contracts with mental health providers, who could be private or NHS, for non-specialist mental health services. The NHS Commissioning Board will be responsible for commissioning all mental health services as defined in the regulations to the Act and the Manual for prescribed specialised services which describes the detail of the services. As with CCGs the NHS CB will contract with NHS and non NHS providers for the named services.

      Kind regards

      Digital Communications Officer
      NHS Commissioning Board

  6. Gabrielle Reyes says:

    How do I know which CCG my GP Practice belongs to?

    • Simon@NHS CB says:

      Hi Gabrielle
      Thank you for your comment. You can use our CCG maps to find your local clinical commissioning group or on our CCG directory page you can find a spreadsheet of proposed CCGs with proposed known constituent member practices.

      Kind regards

      Digital Communications Officer
      NHS Commissioning Board

  7. Sebastian Hendricks says:

    I can’t see NHS Corby on the list. why?