Allocations

NHS England is responsible for determining allocations of financial resources to Clinical Commissioning Groups (CCGs). Total annual budgets given to CCGs cover the majority of NHS spending. The allocations process uses a statistical formula to make geographic distribution fair and objective, so that it more clearly reflects local healthcare need and helps to reduce health inequalities.

CCG allocations announcements

Allocation of resources 2019/20 to 2023/24

Revised allocations for 2018/19

Non-recurrent adjustments for 2017/18 and 2018/19

Allocation of resources 2016/17 to 2020/21

Allocations for 2015/16

Allocations for 2014/15 and 2015/16

Allocations for 2013/14

Cost Recovery for overseas visitors

Allocations infographics

We have produced an illustrated summary of the allocations process (see also detailed technical guides below), which explain the calculations behind financial allocations to CCGs. We hope that using images and metaphors make the ideas and models more accessible.

Technical Details of Allocations Formulae

Technical Guide to CCG Allocations 2018-19 (Apr 2018)

These spreadsheet files set out the underlying components of the revised 2018-19 allocations for core CCG services. For detailed technical guidance, and allocations for primary care and specialised services, please see the guidance published in April 2016 below.

Spreadsheet files for CCG allocations 2018-19

Technical guide to CCG allocations 2016-17 to 2020-21 (Apr 2016)

The Technical Guide to Allocation Formulae and Pace of Change for 2016-17 to 2020-21 revenue allocations to Clinical Commissioning Groups and commissioning areas has now been published. The technical guide sets out the methodology and actual calculation of the allocations which were agreed at the 17 December 2015 NHS England Board meeting and published on 8 January 2016. This documentation covers both the target allocations (determined by the formulae for core CCG, specialised and primary medical care services) and pace of change policy. Supporting analysis for setting CCG running cost allowances and Better Care Fund contributions are also included. The accompanying Advisory Committee on Resource Allocation (ACRA) documents, research reports and spreadsheets are below:

ACRA documents

Research Reports on the allocation formulae

Spreadsheet files for allocations 2016-17 to 2020-21

Equality Analysis

Technical guide to CCG allocations 2014-15 to 2015-16 (Mar 2014)

The Technical Guide to 2014-15 and 2015-16 CCG allocations and primary care allocations to Area Teams has now been published. The technical guide sets out the methodology and actual calculation of the allocations which were agreed at the 17 December 2013 NHS England Board meeting. This documentation covers both the target allocations determined by the formulae and pace of change policy.

Advisory Committee on Resource Allocation (ACRA)

ACRA provides recommendations and advice on the target, relative geographical distribution of funding for health services in England, given the objectives of the funding formula. It is supported by a Technical Advisory Group (TAG).  ACRA membership is set out in the terms of reference.

Further reading