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.