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.
We have produced an illustrated summary of the detailed technical guides below, which explain the calculations behind financial allocations to CCGs. We hope that using infographics and metaphors make the ideas and models more accessible.
Current and previous published allocations being available at the links below. The latest round included allocations for 2016/17 (indicative for 2017/18 and 2018/19).
- Allocation adjustments for 2017/18 and 2018/19
- Allocation of resources 2016/17 – 2020/21
- Allocation of resources 2015/16
- Clinical Commissioning Group allocations 2014/15 and 2015/16 and CCG funding allocations for next two years following adoption of new formula
- CCG Allocations 2013/14 and CCG financial allocations 2013/14
These reports explain how the allocations formula works, along with supporting documents, research reports and spreadsheets (including full details of calculations)
- Technical Guide to determination of revenue allocations to CCGs and commissioning areas for 2016-17 to 2020-21
- Technical Guide to Clinical Commissioning Group and Area Team allocations 2014-15 and 2015-16
Expert advisory group
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) and a team of analysts in NHS England.
The allocations formula has recently undergone a fundamental review, with the health needs research fully updated and revised. From April 2016, analytical support for public health allocations returned to the Department of Health, but is still supported by ACRA.
- Public health formula for local authorities from April 2016 (Consultation Oct 2015)
- Unmet need literature review (University of York) research paper (Jan 2017)
- Fundamental Review of Allocations Policy (NHS England – Aug 2013)
- Person-based Resource Allocation (PBRA) – (Nuffield Trust – Dec 2011)
- Weighted Capitation Formula 7th Edition (Department of Health – March 2011)