Major Clinical Commissioning Group structure shake-up to take place in April as 191 CCGs become 135
In April 2020, the health and care services commissioning structure is set to change significantly, with the merger, closure and creation of numerous Clinical Commissioning Groups (CCGs) taking place across England.
Clinically-led statutory NHS bodies responsible for the planning and commissioning of health care services for their local area, CCGs assess local needs, deciding priorities and strategies, and buy services on behalf of the population from various providers.
In April 2019, there were approximately 191 CCGs in England, responsible for approximately two-thirds of the total NHS England budget, totalling £79.9 billion in 2019/20.
The number of CCGs will reduce significantly this year however, condensing to 135 as 74 CCGs merge to create 18 new groups.
Becoming legally active in April 2020, the NHS has released details of the mapping of CCGs to STPs and their new respective regions across England.
The changes to the CCG structure follows the reconfiguration of sustainability and transformation partnerships (STPs) in April 2019, where 14 NHS England Regional Offices were replaced by 42 STPs as the Higher Level Health Authority.
The commissioning structure shake-up is a key element of the NHS Long Term Plan, with its aim to create a more integrated approach to health and social care across primary and specialist care, physical and mental health services, and health within social care.
Established in 2016, STPs are areas covering England where commissioners, NHS organisations and local government create five-year plans covering NHS spending on health and care in the localities they serve.
Initially designed to foster greater integration, the 42 STPs will gradually be replaced by Integrated Care Systems (ICSs) according to the NHS Long Term Plan, which aims for ICSs to cover the entire country by April 2021.
Evolving out of STPs, ICSs will “bring together local organisations to redesign care and improve population health, creating shared leadership and action” says the NHS Long Term Plan, becoming an even closer form of collaboration whereby NHS and local authorities assume greater responsibility for managing resources.
See the table below to see which CCGs have merged and what have they become and download the complete mapping file here:
| Closing CCG Name | New CCG Name |
|---|---|
| Durham Dales, Easington and Sedgfield CCG |
NHS County Durham CCG |
| North Durham CCG | NHS County Durham CCG |
| Darlington CCG | NHS Tees Valley CCG |
| Hartlepool and Stockton-on-Tees CCG | NHS Tees Valley CCG |
| South Tees CCG | NHS Tees Valley CCG |
| Hambleton, Richmondshire and Whitby CCG | NHS North Yorkshire CCG |
| Scarborough and Ryedale CCG |
NHS North Yorkshire CCG |
| Harrogate and Rural District CCG | NHS North Yorkshire CCG |
| Airedale, Wharfedale and Craven CCG |
NHS Bradford District and Craven CCG |
| Bradford City CCG | NHS Bradford District and Craven CCG |
| Bradford Districts CCG |
NHS Bradford District and Craven CCG |
| Eastern Cheshire CCG | NHS Cheshire CCG |
| South Cheshire CCG |
NHS Cheshire CCG |
| Vale Royal CCG | NHS Cheshire CCG |
| West Cheshire CCG |
NHS Cheshire CCG |
| Herefordshire CCG | NHS Herefordshire and Worcestershire CCG |
| Redditch and Bromsgrove CCG |
NHS Herefordshire and Worcestershire CCG |
| South Worcestershire CCG | NHS Herefordshire and Worcestershire CCG |
| Wyre Forest CCG | NHS Herefordshire and Worcestershire CCG |
| Corby CCG | NHS Northamptonshire CCG |
| Nene CCG | NHS Northamptonshire CCG |
| Mansfield and Ashfield CCG | NHS Nottingham and Nottinghamshire CCG |
| Newark and Sherwood CCG |
NHS Nottingham and Nottinghamshire CCG |
| Nottingham City CCG | NHS Nottingham and Nottinghamshire CCG |
| Nottingham North and East CCG |
NHS Nottingham and Nottinghamshire CCG |
| Nottingham West CCG | NHS Nottingham and Nottinghamshire CCG |
| Rushcliffe CCG | NHS Nottingham and Nottinghamshire CCG |
| Lincolnshire East CCG | NHS Lincolnshire CCG |
| Lincolnshire West CCG |
NHS Lincolnshire CCG |
| South Lincolnshire CCG | NHS Lincolnshire CCG |
| South West Lincolnshire CCG |
NHS Lincolnshire CCG |
| Great Yarmouth and Waveney CCG | NHS Norfolk & Waveney CCG |
| North Norfolk CCG |
NHS Norfolk & Waveney CCG |
| West Norfolk | NHS Norfolk & Waveney CCG |
| South Norfolk CCG |
NHS Norfolk & Waveney CCG |
| Norwich CCG | NHS Norfolk & Waveney CCG |
| NHS Bexley CCG | NHS South East London CCG |
| NHS Bromley CCG | NHS South East London CCG |
| NHS Greenwich CCG |
NHS South East London CCG |
| NHS Lambeth CCG | NHS South East London CCG |
| NHS Lewisham CCG |
NHS South East London CCG |
| NHS Southwark CCG | NHS South East London CCG |
| NHS Croydon CCG | NHS South West London CCG |
| NHS Kingston CCG | NHS South West London CCG |
| NHS Richmond CCG |
NHS South West London CCG |
| NHS Merton CCG | NHS South West London CCG |
| NHS Sutton CCG | NHS South West London CCG |
| NHS Wandsworth CCG | NHS South West London CCG |
| NHS Barnet CCG | NHS North Central London CCG |
| NHS Camden CCG | NHS North Central London CCG |
| NHS Enfield CCG | NHS North Central London CCG |
| NHS Haringey CCG | NHS North Central London CCG |
| NHS Islington CCG |
NHS North Central London CCG |
| Ashford CCG | NHS Kent and Medway CCG |
| Canterbury and Coastal CCG |
NHS Kent and Medway CCG |
| Dartford, Gravesham and Swanley CCG | NHS Kent and Medway CCG |
| Medway CCG | NHS Kent and Medway CCG |
| South Kent Coast CCG | NHS Kent and Medway CCG |
| Swale CCG | NHS Kent and Medway CCG |
| Thanet CCG | NHS Kent and Medway CCG |
| West Kent CCG | NHS Kent and Medway CCG |
| Guildford and Waverley CCG | NHS Surrey Heartlands CCG |
| North West Surrey CCG |
NHS Surrey Heartlands CCG |
| Surrey Downs CCG | NHS Surrey Heartlands CCG |
| East Surrey | NHS Surrey Heartlands CCG |
| Coastal West Sussex CCG | NHS West Sussex CCG |
| Crawley CCG | NHS West Sussex CCG |
| Horsham and Mid Sussex CCG | NHS West Sussex CCG |
| Hastings and Rother CCG |
NHS East Sussex CCG |
| High Weald Lewes Havens CCG | NHS East Sussex CCG |
| Eastbourne Hailsham and Seaford CCG |
NHS East Sussex CCG |
| Bath and North East Somerset CCG | NHS Bath and North East Somerset, Swindon and Wiltshire CCG |
| Swindon CCG | NHS Bath and North East Somerset, Swindon and Wiltshire CCG |
| Wiltshire CCG | NHS Bath and North East Somerset, Swindon and Wiltshire CCG |
