The NHS reforms have reached the “landmark moment” of agreeing the clinical commissioning groups which will go forward to take over budgets next year, the NHS Commissioning Board has said.

Update - 13 December, 2012 - HSJ publishes interactive commissioning system map

HSJ has launched the first comprehensive interactive map of the reformed NHS commissioning system, showing critical details about the new organisations, including their leaders, performance, budgets and size. View it here

It today published a list of the 212 CCGs which will go forward to authorisation. They have all agreed the area they will cover, the board said.

There may be changes – for example practices moving between CCGs before they take over full control in April 2013 – but they are expected to be minimal.

Click to see HSJ CCG Map Tool

The process of reaching an agreement has been the subject of extensive wrangles and negotiation in many areas over the past two years. Dozens of groups which were previously hailed as “pathfinders” by the government no longer exist, many because they were too small or the wrong shape.

For example, GPs in Barnsley have now agreed to a single CCG. Earlier this year one group of GPs in the town wrote to the health secretary protesting that they wanted to be independent.

In Hertfordshire, the Red House Practice, which was a “pathfinder” group as a standalone practice, was forced to merge with a larger group.

The process has seen a fall from more than 300 proposed GP-led commissioning groups in 2010, with the size of each one becoming much larger.

The board’s director of commissioning development Dame Barbara Hakin told HSJ all groups had been formed based on practices’ preferences. She said the “silent majority” of GPs were happy with their CCG configuration, despite some colleagues publicly protesting.

The 212 CCGs will now go forward to authorisation. The board today also published which of the four “waves” of authorisation CCGs will be assessed in. The process will run from July until the autumn.

It has also published indicative allocations for administration for each of the CCGs, at the previously announced rate of £25 per head of their population.

Some are likely to be alarmed at their allocation because they believed their population was larger than the commissioning board’s estimate. The board has adjusted CCGs’ populations to account for patients who are wrongly registered on practice lists, and for unregistered patients. The allocation is also based on groups’ real population, rather than a number weighted for deprivation, which will irritate some.

Dame Barbara Hakin said: “This is a real landmark moment and is a credit to everyone involved in developing CCGs and the new clinically-led commissioning system.

“We should not underestimate the hard work that has taken place to get us where we are and the huge progress that has been made across the country.

“We have 212 groups of practices who have chosen to come together to shape and commission services to deliver better care, better experience, better outcomes and improved safety for their local populations.

“There is still a great deal of work to do as the proposed CCGs move closer to authorisation, but we should take a moment to celebrate this fantastic achievement.”


CCGAuthorisation waveRegion
NHS Islington CCG1London
NHS Kingston CCG1London
NHS Wandsworth CCG1London
NHS Bedfordshire CCG1Midlands & East
NHS Dudley CCG1Midlands & East
NHS East and North Hertfordshire CCG1Midlands & East
NHS East Leicestershire and Rutland CCG1Midlands & East
NHS Great Yarmouth & Waveney CCG1Midlands & East
NHS Leicester City CCG1Midlands & East
NHS North Staffordshire CCG1Midlands & East
NHS Sandwell and West Birmingham CCG1Midlands & East
NHS Shropshire CCG1Midlands & East
NHS Stoke on Trent CCG1Midlands & East
NHS West Leicestershire CCG1Midlands & East
NHS Bassetlaw CCG1North
NHS Blackpool CCG1North
NHS Calderdale CCG1North
NHS Cumbria CCG1North
NHS East Riding of Yorkshire CCG1North
NHS North EastLincolnshire CCG1North
NHS Oldham CCG1North
NHS Rotherham CCG1North
NHS Wakefield CCG1North
NHS Warrington CCG1North
NHS Liverpool CCG1North
NHS West Cheshire CCG1North
NHS Gloucestershire CCG1South
NHS Kernow CCG1South
NHS Newbury and District CCG1South
NHS North & West Reading CCG1South
NHS Oxfordshire CCG1South
NHS Portsmouth CCG1South
NHS Somerset CCG1South
NHS South Reading CCG1South
NHS Wokingham CCG1South
NHS Brent CCG2London
NHS Bromley CCG2London
NHS Central London (Westminster) CCG2London
NHS Ealing CCG2London
NHS Hammersmith and Fulham CCG2London
NHS Harrow CCG2London
NHS Hillingdon CCG2London
NHS Hounslow CCG2London
NHS Lambeth CCG2London
NHS Lewisham CCG2London
NHS Southwark CCG2London

NHS West London (Kensington and Chelsea, Queen’s

Park and Paddington) CCG

NHS Cambridgeshire and Peterborough CCG2Midlands & East
NHS Herts Valleys CCG2Midlands & East
NHS Milton Keynes CCG2Midlands & East
NHS Nene CCG2Midlands & East
NHS North East Essex CCG2Midlands & East
NHS Nottingham City CCG2Midlands & East
NHS Nottingham North & East CCG2Midlands & East
NHS Redditch and Bromsgrove CCG2Midlands & East
NHS Rushcliffe CCG2Midlands & East
NHS South Worcestershire CCG2Midlands & East
NHS Stafford and Surrounds CCG2Midlands & East
NHS Telford & Wrekin CCG2Midlands & East
NHS Walsall CCG2Midlands & East
NHS Wyre Forest CCG2Midlands & East
NHS Nottingham West CCG2Midlands & East
NHS Airedale, Wharfedale and Craven CCG2North
NHS Blackburn with Darwen CCG2North
NHS Bolton CCG2North
NHS Bradford City CCG2North
NHS Bradford Districts CCG2North
NHS Chorley and South Ribble CCG2North
NHS Durham Dales, Easington and Sedgefield CCG2North
NHS Eastern Cheshire CCG2North
NHS East Lancashire CCG2North
NHS Fylde & Wyre CCG2North
NHS Greater Huddersfield CCG2North
NHS Greater Preston CCG2North
NHS Hartlepool and Stockton-on-Tees CCG2North
NHS Hull CCG2North
NHS Salford CCG2North
NHS Leeds North CCG2North
NHS Leeds South and East CCG2North
NHS Leeds West CCG2North
NHS North Lincolnshire CCG2North
NHS Northumberland CCG2North
NHS Sheffield CCG2North
NHS South Cheshire CCG2North
NHS Southport and Formby CCG2North
NHS South Sefton CCG2North
NHS South Tees CCG2North
NHS St Helens CCG2North
NHS Stockport CCG2North
NHS Sunderland CCG2North
NHS Vale Royal CCG2North
NHS Brighton & Hove CCG2South
NHS Coastal West Sussex CCG2South
NHS Crawley CCG2South
NHS Dartford, Gravesham and Swanley CCG2South
NHS Fareham and Gosport CCG2South
NHS Horsham and Mid Sussex CCG2South
NHS Isle of Wight CCG2South
NHS North East Hampshire and Farnham CCG2South
NHS North West Surrey CCG2South
NHS Medway CCG2South
NHS South Devon and Torbay CCG2South
NHS South Eastern Hampshire CCG2South
NHS Swindon CCG2South
NHS West Hampshire CCG2South
NHS Barnet CCG3London
NHS Camden CCG3London
NHS City and Hackney CCG3London
NHS Greenwich CCG3London
NHS Haringey CCG3London
NHS Newham CCG3London
NHS Merton CCG3London
NHS Richmond CCG3London
NHS Sutton CCG3London
NHS Tower Hamlets CCG3London
NHS Waltham Forest CCG3London
NHS Birmingham South and Central CCG3Midlands & East
NHS Newark & Sherwood CCG3Midlands & East
NHS Cannock Chase CCG3Midlands & East
NHS Corby CCG3Midlands & East
NHS Erewash CCG3Midlands & East
NHS Herefordshire CCG3Midlands & East
NHS Lincolnshire East CCG3Midlands & East
NHS Lincolnshire West CCG3Midlands & East
NHS Luton CCG3Midlands & East
NHS Mansfield & Ashfield CCG3Midlands & East
NHS Mid Essex CCG3Midlands & East
NHS North Derbyshire CCG3Midlands & East
NHS North Norfolk CCG3Midlands & East
NHS Norwich CCG3Midlands & East
NHS Solihull CCG3Midlands & East
NHS Southern Derbyshire CCG3Midlands & East
NHS South Norfolk CCG3Midlands & East
NHS South Warwickshire CCG3Midlands & East
NHS West Essex CCG3Midlands & East
NHS West Norfolk CCG3Midlands & East
NHS Wolverhampton CCG3Midlands & East
NHS Bury CCG3North
NHS Central Manchester CCG3North
NHS Gateshead CCG3North
NHS Halton CCG3North
NHS Hambleton, Richmondshire and Whitby CCG3North
NHS Harrogate and Rural District CCG3North
NHS Heywood, Middleton & Rochdale CCG3North
NHS Lancashire North CCG3North
NHS Newcastle West CCG3North
NHS Newcastle North and East CCG3North
NHS North Manchester CCG3North
NHS North Tyneside CCG3North
NHS Scarborough and Ryedale CCG3North
NHS South Manchester CCG3North
NHS South Tyneside CCG3North
NHS Tameside and Glossop CCG3North
NHS Trafford CCG3North
NHS Vale of York CCG3North
NHS West Lancashire CCG3North
NHS Aylesbury Vale CCG3South
NHS Bath and North East Somerset CCG3South
NHS Bracknell and Ascot CCG3South
NHS Bristol CCG3South
NHS Chiltern CCG3South
NHS Dorset CCG3South
NHS Eastbourne, Hailsham and Seaford CCG3South
NHS Guildford and Waverley CCG3South
NHS Hastings & Rother CCG3South
NHS North Somerset CCG3South
NHS Slough CCG3South
NHS South Gloucestershire CCG3South
NHS Surrey Heath CCG3South
NHS Windsor, Ascot and Maidenhead CCG3South
North Hampshire and Basingstoke area - CCG name to be agreed3South
NHS East Surrey CCG3South
NHS Enfield CCG4London
NHS Havering CCG4London
NHS Redbridge CCG4London
NHS Barking & Dagenham CCG4London
NHS Bexley CCG4London
NHS Croydon CCG4London
NHS Basildon and Brentwood CCG4Midlands & East
NHS Birmingham CrossCity CCG4Midlands & East
NHS Castle Point and Rochford CCG4Midlands & East
NHS Coventry and Rugby CCG4Midlands & East
NHS East Staffordshire CCG4Midlands & East
NHS Hardwick CCG4Midlands & East
NHS Ipswich and East Suffolk CCG4Midlands & East
NHS North East Birmingham CCG4Midlands & East
NHS South East Staffs and Seisdon Peninsular CCG4Midlands & East
NHS South Lincolnshire CCG4Midlands & East
NHS South WestLincolnshire CCG4Midlands & East
NHS Southend CCG4Midlands & East
NHS Thurrock CCG4Midlands & East
NHS Warwickshire North CCG4Midlands & East
NHS West Suffolk CCG4Midlands & East
NHS Barnsley CCG4North
NHS Darlington CCG4North
NHS Doncaster CCG4North
NHS Knowsley CCG4North
NHS North Durham CCG4North
NHS North Kirklees CCG4North
NHS Wigan Borough CCG4North
NHS Wirral CCG4North
NHS Ashford CCG4South
NHS Canterbury and Coastal CCG4South
NHS High Weald Lewes Havens CCG4South
NHS North, East, West Devon CCG4South
NHS Surrey Downs CCG4South
NHS Swale CCG4South
NHS Thanet CCG4South
NHS West Kent CCG4South
NHS Southampton CCG4South
NHS South Kent Coast CCG4South
NHS Wiltshire CCG4South