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.

This page contains the allocations and associated documents for the 2019/20 to 2023/24 allocations round. Information on previous allocations rounds can be found at the following links:

Allocation of resources 2019/20 to 2023/24 (summaries)

Technical guide to CCG allocations 2019/20 to 2023/24 (Apr 2019)

Allocations infographics

We have created an illustrated guide to the methodology and approach to the way that resources are allocated in the NHS. This uses images and metaphors to make the ideas and models supporting the formula more accessible, as an introduction to the detailed allocations technical guidance.

Spreadsheet files for allocations 2019/20 to 2023/24

Equality analysis

Equality and Health Inequality Analysis for 2019/20 to 2023/24 revenue allocations to Clinical Commissioning Groups was presented at the NHS England Board on the 31 Jan 2019.

Background materials

Cost recovery for overseas visitors

Research reports on the allocations formulae

ACRA recommendation letters and papers

The Advisory Committee on Resource Allocation (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.

ACRA recommendation letters

ACRA papers

This section contains papers from ACRA discussions.  Some aspects of these papers have been redacted in line with FOI principles.

Further reading

Need more help?

For queries on CCG Allocations or suggestions for ACRA’s work programme please email: