Clinical Commissioning Groups (CCGs) are clinically-led groups that are responsible for designing local health care services in England. They were established in 2013 to replace Primary Care Trusts and are overseen by the National Commissioning Board. CCGs are membered by general practitioner practices to commission services for their local area. They are responsible for planning, designing, implementing and monitoring health services while ensuring value for money. CCGs must ensure providers are fit for purpose, address poor performance, and deliver services within their financial framework to meet local population needs.

1. What is a Clinical
Commissioning Group?
Sue Luff

2. What is a Clinical Commissioning
Group?
2011 Equity and Excellence – Liberating the
NHS White paper
April 2013 CCGs will have full responsibility
• Member practices form the CCG
• Bound by agreed constitution
• Governing body
• All undertaken period of authorisation

3. What is a Clinical Commissioning
Group?
In addition to commissioning CCGs have
duty of care:
• Ensure providers are fit for purpose
• Instigate actions where performance is
poor
• Deliver within the financial framework
• Ensure needs of local population are met

4. What is different?
• Clinically led
• Locality focused
• National Commissioning Board
• Health & Well Being Boards

5. What is commissioning?
Delivery of safe, effective, health care
services whilst ensuring value for money
• Planning
• Designing
• Implementation
• Monitoring

6. Planning
Develop evidence for change through:
• CCG 5 year Plan
• Analysis of activity and finance data
• Joint Needs Service Assessment
• Patient & Public Engagement
• Clinical engagement
• Working with partners and providers
• In response to governance concerns
• National guidance - NICE

7. Designing - scope revised pathway
and service
Incorporate:
• What is best practice
• Primary Care
• Community
• Providers
• Patients and public
• National bodies such as Age UK

8. Implementation
Contract variation
Procurement process
• Any Qualified Provider
• Single Tender Waiver
• Competitive tender

9. Monitoring
Through Key Performance Indicators ( KPIs)
• Activity
• Finance
• Patient satisfaction
• Clinical outcomes
• Clinical governance such as infection rates

10. CCG responsible for:
• Urgent care
• Elective care
• Community health services
• Community based services
• Maternity & Children's
• Mental Health
• Learning disabilities
• Continuing Care

11. Examples of projects to date:
• Community geriatrician
• GP within A/E
• Community based elective services
• Proactive care
• Care home project