Clinical priority areas

The Five Year Forward View and the Planning Guidance set out national ambitions for transformation in six vital clinical priorities: cancer, mental health, dementia, diabetes, learning disabilities and maternity. To reinforce our collective efforts in these areas, independent panels have been established. The panels will define their approaches to creating an assessment for each clinical priority area for 2016/17 year end. Panel chairs agreed membership for their panels, and this is set out below for cancer, mental health, dementia, diabetes, learning disabilities and maternity:


Chair: Sir Harpal Kumar, Chief Executive of Cancer Research UK
Panel members:

Name Affiliation
Charlotte Beardmore Society and College of Radiographers
John Reeve Patient representative
Richard Roope Royal College of General Practitioners
Fran Woodard Macmillan Cancer Support

Mental health

Chair: Paul Farmer, Chief Executive of Mind
Panel members:

Name Affiliation
Louis Appleby University of Manchester
Paul Burstow Tavistock and Portman NHS Foundation Trust
Tim Croudace University of Dundee
Jacqui Dyer Expert by experience: Health and Social Care Consultant
Ian Hulatt Royal College of Nursing
John Middleton Faculty of Public Health
Phil Moore NHS Clinical Commissioners
Vicki Nash Mental Health Policy Group
Lyn Romeo Department of Health
Esther Cohen-Tovee British Psychological Society
Simon Wessely Royal College of Psychiatrists
Melanie Walker NHS Confederation
Sarah Yiannoullou National Survivor User Network


Chair: Jeremy Hughes, Chief Executive of the Alzheimer’s Society
Panel members:

Name Affiliation
Andrew Boaden Alzheimer’s Society
Alistair Burns NHS England
Sarah Pickup Local government
Sunil Gupta GP
Wendy Burn Clinician
Peter Bagshaw CCG
Paul Bate Care Quality Commission
Alison Murray Care Quality Commission
Maxine Power Haelo (hosted by Salford Royal NHS Foundation Trust)
Rachel Volland Haelo (hosted by Salford Royal NHS Foundation Trust)
Lorraine Jackson Department of Health
Rosemary Phillips Carer
Alex Lewis Central North West London NHS Foundation Trust
Bridget Warr UK Homecare Association
Jennifer Bute Patient representative


Chair: Chris Askew, Chief Executive of Diabetes UK
Panel members:

Name Affiliation
Bob Young Salford Consultant Physician
Sue Briggs Patient representative
Fiona Campbell Paediatric Diabetologist
Kate Fayers Consultant Diabetologist
Kathy Hoffman GP, CCG
Kamlesh Khunti Academic GP
Marianne Littleford Patient representative
Claire Neely Diabetes Specialist Nurse
Gerry Rayman Consultant Diabetologist
Garry Tan Consultant Diabetologist
Rakesh Marwaha CCG

Learning disabilities

Co- Chairs: Rob Webster, Chief Executive of South West Yorkshire Partnership NHS Foundation Trust and Gavin Harding, Learning Disability Advisor, NHS England
Panel members:

Name Affiliation
Alex Fox Shared Lives
Fiona Ritchie Turning Point
Steve Shrubb Recently retired Chief Executive,  West London Mental Health Trust
Sue Bailey Academy of Medical Royal Colleges
Rob Greig National Development Team for Inclusion
Jo Poynter Local Government Association
Dominic Slowie Former National Clinical Director – Learning Disabilities


Chair:  Baroness Julia Cumberlege, Chair of National Maternity Review
Panel members:

Name Affiliation
Sir Cyril Chantler Vice chair of the maternity review
Mary Newburn Service user representative
David Richmond Royal College of Obstetricians and Gynaecologists
Mel Pickup Warrington and Halton Hospitals NHS Foundation Trust
Cathy Warwick Royal College of Midwives
Mike Lane Board Member, Wandsworth CCG

As part of the new Clinical Commissioning Group Improvement and Assessment Framework (CCGIAF) for 2016/17, an initial baseline rating for the six clinical priority areas will be published on MyNHS. The rating has been derived from the indicators in the new framework looking at CCGs’ current baseline performance using the most recent data available as at the end of June 2016. The baseline rating provides a starting point for future assessments.

Independent panels for each of the six clinical areas have defined approaches to combining the individual metrics to reach an overall rating for each priority area. This document sets out the methodologies used for an initial assessment for cancer, mental health, dementia, diabetes, learning disabilities and maternity.

Understanding the Transformation Indicators explains the methodology for scoring CCG self-assessment on the three mental health transformation indicators.

CCG Improvement and Assessment Framework clinical priority area support offers

NHS England introduced a new CCG improvement and assessment framework in 2016/17, fully aligned to the Five Year Forward View and NHS planning guidance. This brings together a range of key indicators, enabling NHS England and CCGs to work together, using the indicators to drive improvement for patients. There are national ambitions for transformation in a number of vital clinical priorities, including cancer, mental health, dementia, diabetes, learning disabilities, and maternity.

Each priority area has a number of indicators in the framework and the areas are assessed by independent panels, with a separate, clear rating. These ratings are published on MyNHS. Each area has its own support programme for CCGs, which may already be in place or is being introduced in stages. Links to the available support programmes can be found below, with the remaining areas to be added shortly.