Current legal directions

Formal powers of direction

NHS England is supported by legislation in exercising formal powers of direction if it is satisfied that a CCG is (a) failing or (b) is at risk of failing to discharge its functions. Formal intervention action would be proposed, as laid out in section 14Z21 of the NHS Act 2006 (as amended).

NHS England has governance arrangements in place, to ensure these powers are used consistently. Listed below are the current directions applied to CCGs.  CCG improvement is regularly monitored and when sufficient progress has been made, the removal or updating of the directions will be sought.  Once directions have been removed from a CCG, the directions document is removed from NHS England’s website.

Please note: Integrated Care Boards (ICBs) took over commissioning responsibilities from CCGs on 1st July 2022. Legal directions shown below remain in place until further notice.

Directions currently in place