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Independents' Day

NHS England reveals full list of CCGs to take on GP contracts from April

NHS England has revealed the first set of CCGs that will take control for commissioning the majority of GP contracts and services from April this year, with 65 making the cut.

As part of a push to improve local primary care, 64 CCGs from across the country have initially been given the green light to take on full delegated commissioning responsibility for GP services but more may follow, NHS England said.

Out of 77 CCGs that applied, one more as yet unnamed CCG is expected to gain approval subject to making some governance changes. This means 65 CCGs are expected to be holding GP contracts, performance managing practices and setting up local incentive schemes from April.

Co-commissioning plans already being rolled out by CCGs include a £95-per-patient guarantee by NHS Bolton CCG to practices reducing emergency admissions while NHS Sandwell and Birmingham CCG was already budgeting a £1m per year investment in GP commissioning staff. Elsewhere, in the Thames Valley area, CCGs are planning to delay clawbacks of funding from PMS practices to 2016.

The move follows plans spelled out early last year by NHS England chief executive Simon Stevens to give patients, communities and clinicians more scope in deciding how local services are developed. Since then the plans have developed into CCGs taking one of three levels of ‘co-commissioning’ responsibility.

This includes the full delegated option as well as joint commissioning with NHS England’s area teams and greater involvement in commissioning. Decisions on which CCGs will be approved for joint commissioning will be made in the coming weeks.

NHS England’s national commissioning strategy director Ian Dodge said the number of CCGs approved to take on the full delegated role was ‘a vote of confidence’ in CCGs.

He said: It is part of our commitment to deliver a new deal for primary care. And it’s a critical step towards joining up the commissioning system, which in turn will help unlock new models of integrated care described in the NHS Five Year Forward View.’

GP and CCG lead Dr Amanda Doyle, who heads NHS England’s co-commissioning oversight group, also welcomed the news, saying the wider role of CCGs would ‘enable a shift in investment from acute to primary and community services and to enable money to follow the patient’.

NHS England said CCGs that had been unsuccessful in their bid would get help to ‘achieve the commissioning model that works best for them’.

CCGs set to commission GP services from April


NHS Sunderland CCG

NHS North Durham CCG

NHS Durham Dales, Easington And Sedgefield CCG

NHS East Lancashire CCG

NHS Greater Preston CCG

NHS Chorley And South Ribble CCG

NHS Blackpool CCG

NHS Fylde & Wyre CCG

NHS Blackburn With Darwen CCG

NHS Bradford City CCG

NHS Bradford Districts CCG

NHS Calderdale CCG

NHS Wakefield CCG

NHS Scarborough And Ryedale CCG

NHS Harrogate And Rural District CCG

NHS Vale Of York CCG

NHS Barnsley CCG

NHS Rotherham CCG

NHS St Helens CCG

NHS Liverpool CCG

NHS Knowsley CCG

NHS Halton CCG

NHS Oldham CCG

NHS Wigan Borough CCG

Midlands and East

NHS South Warwickshire CCG

NHS South Worcestershire CCG

NHS Birmingham Crosscity CCG

NHS Sandwell And West Birmingham CCG

NHS Dudley CCG

NHS Birmingham South And Central CCG

NHS Telford & Wrekin CCG

NHS Shropshire CCG

NHS North Derbyshire CCG

NHS Hardwick CCG

NHS Mansfield & Ashfield CCG

NHS Newark & Sherwood CCG

NHS Nottingham North & East CCG

NHS Nottingham West CCG

NHS Nottingham City CCG

NHS Erewash CCG

NHS Rushcliffe CCG

NHS Southern Derbyshire CCG

NHS Lincolnshire West CCG

NHS Lincolnshire East CCG

NHS South West Lincolnshire CCG

NHS South Lincolnshire CCG

NHS East Leicestershire And Rutland CCG

NHS Leicester City CCG

NHS West Leicestershire CCG

NHS Castle Point And Rochford CCG


NHS Tower Hamlets CCG

NHS Waltham Forest CCG

NHS Newham CCG

NHS Redbridge CCG

NHS Barking & Dagenham CCG

NHS Havering CCG


NHS Eastbourne, Hailsham And Seaford CCG

NHS Hastings & Rother CCG

NHS High Weald Lewes Havens CCG

NHS South Eastern Hampshire CCG

NHS Fareham And Gosport CCG

NHS West Hampshire CCG

NHS Portsmouth CCG

NHS Gloucestershire CCG

Source: NHS England



Readers' comments (11)

  • Sounds like a really good idea - why dont they call these organisations Primary Care Trusts !!!

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  • This could result in a well deserved increase in funding for GP practices.

    However will this increase go to individual practices, GP federations, or to a few 'well placed' practices who have GPs sitting on CCG boards

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  • Bob Hodges

    Of course just tweaking things to put GPs in the PCTs 3 years ago would have been way to simple, and wouldn't have created an opportunity to spend another £5bn on another top-down reorganisation of the NHS that we desperately needed.

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  • Vinci Ho

    The question is : instead of taking one simple step from A to B , it took a trip around the whole universe before coming back to position B, exhausting so much resources which could be well ultilised on frontline. Instead , NHS was squeezed and harmed by a fallacy claiming efficiency saving . Unforgivable sin.

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  • I agree that "Primary Care Trust" sounds like a good name for these new bodies but "Family Practitioner Committee" has a nice modern ring to it as well.

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  • It's strange that the poorest borough's make up London's list.
    Only a cynic would suggest that it's because private companies won't want to take over commissioning there in the long run.

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  • Primary Care Travesties sounds more reasonable.

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  • But as CCGs are obliged under the section 75 regulations of the Health and Social care Act to put services out to tender, does that mean that these CCGs will be putting GP contracts out to tender? Is this just another way to give private companies market entry to provide GP services? I note that CCGs will be granting the PMS and APMS contracts and be allowed to establish new practices and approve mergers and other changes - so will this be an opportunity for Virgin and Care UK to bid to take over GP contracts. Many CCG board members have conflicts of interest and close relationships with private companies like Virgin. I am not convinced that the so-called "safeguards' against coI will be effective. It usually means they leave their room. But being outside the room does not mean that your pals in the room won't make decisions that benefit you. At the very least we need a rule change so no-one can be a CCG board member who has any interests at all in private companies. It should be easy to do that. I wonder why its not happening? Perhaps its because our whole culture is rotten with conflicts of interest and GPs on CCGs are copying their role models in parliament, the DH, and industry with its revolving door. If it is rotten at the top there is little hope of the system being healthy further down.

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  • Our locality leads have become providers so commission and provide
    Is this universal

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  • What were the criteria for accepting or rejecting the applications, and wil the CCGs approved have to change their Constitutions to accomodate this very new, enhanced function?
    Do we know (or could Pulse find out) the reasons why - or the differences, current and historical, between those who applied and were approved, those who applied and were not approved, and those who did not apply in the first place?
    There seem to be whole areas not involved - e.g. a swathe across Buckinghamshire, Milton Keynes, Bedfordshire, Luton, Hertfordshire, Cambridgeshire, Northamptonshire, Norfolk and Essex do not appear to be on the list at all.
    Is it related to CCG/practice funding? (Manchester - very poorly funded at CCG and practice level is also not on the list). Or to financial status (Bedfordshire is anticipating a shortfall almost exactly equal to the lack of funding due to being 8.39% below "fair shares": I do not know about the other CCGs). Or to some other reason?
    Please find out for us;->

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