Five clinical commissioning groups have significantly improved their ratings in the new assessment framework published by NHS England. 

The national body annually rates each CCG as either outstanding; good; requires improvement; or inadequate

The ratings are calculated based on how well CCGs perform in 50 different areas such as financial stability, leadership and care quality in services such as maternity and A&E. 

Five CCGs had improved by two ratings, while four had dropped two ratings. 

CCGs that improved by more than one rating

CCG 2017-18 rating2016-17 rating
Great Yarmouth and Waveney CCG Good Inadequate
Greenwich CCG Good Inadequate
Redditch and Bromsgrove CCG Good Inadequate
Solihull CCG Good Inadequate
Newcastle Gateshead CCG Outstanding Requires improvement

CCGs that dropped by more than one rating

CCG 2017-18 rating2016-17 rating
Canterbury and Coastal CCG Inadequate Good
South Tees CCG Inadequate Good
South Kent Coast CCG Inadequate Good
West Leicestershire CCG Requires improvement Outstanding

Eighty-eight CCGs saw their overall rating change by at least one (see table below).

NHS England said: “Overall, the picture is one of slight improvement during a challenging year, with the majority of CCGs having better performance on most indicators in the CCG IAF than last year.”  

Julie Wood, chief executive of NHS Clinical Commissioners, said: “Today’s IAF results highlight the good work taking place in CCGs across the country. The results also demonstrate that there are cases where improvement is needed.”

CCGs with amended ratings

CCGOverall 2017-18 ratingOverall 2016-17 rating
NHS Airedale, Wharfedale and Craven CCG OUTSTANDING GOOD
NHS Ashford CCG INADEQUATE REQUIRES IMPROVEMENT
NHS Aylesbury Vale CCG REQUIRES IMPROVEMENT GOOD
NHS Barnet CCG REQUIRES IMPROVEMENT GOOD
NHS Barnsley CCG OUTSTANDING GOOD
NHS Bath and North East Somerset CCG GOOD REQUIRES IMPROVEMENT
NHS Blackburn with Darwen CCG GOOD REQUIRES IMPROVEMENT
NHS Bradford City CCG OUTSTANDING GOOD
NHS Calderdale CCG GOOD REQUIRES IMPROVEMENT
NHS Cambridgeshire and Peterborough CCG INADEQUATE REQUIRES IMPROVEMENT
NHS Cannock Chase CCG INADEQUATE REQUIRES IMPROVEMENT
NHS Canterbury and Coastal CCG INADEQUATE GOOD
NHS Chiltern CCG REQUIRES IMPROVEMENT GOOD
NHS Chorley and South Ribble CCG GOOD REQUIRES IMPROVEMENT
NHS Corby CCG GOOD REQUIRES IMPROVEMENT
NHS Croydon CCG REQUIRES IMPROVEMENT INADEQUATE
NHS Dartford, Gravesham and Swanley CCG REQUIRES IMPROVEMENT INADEQUATE
NHS Dudley CCG GOOD OUTSTANDING
NHS Ealing CCG REQUIRES IMPROVEMENT GOOD
NHS East Leicestershire and Rutland CCG REQUIRES IMPROVEMENT GOOD
NHS East Riding of Yorkshire CCG GOOD REQUIRES IMPROVEMENT
NHS East Surrey CCG REQUIRES IMPROVEMENT INADEQUATE
NHS Eastbourne, Hailsham and Seaford CCG INADEQUATE GOOD
NHS Great Yarmouth and Waveney CCG GOOD INADEQUATE
NHS Greater Huddersfield CCG GOOD REQUIRES IMPROVEMENT
NHS Greater Preston CCG GOOD REQUIRES IMPROVEMENT
NHS Greenwich CCG GOOD INADEQUATE
NHS Hambleton, Richmondshire and Whitby CCG INADEQUATE REQUIRES IMPROVEMENT
NHS Hammersmith and Fulham CCG REQUIRES IMPROVEMENT GOOD
NHS Haringey CCG REQUIRES IMPROVEMENT GOOD
NHS Harrow CCG GOOD REQUIRES IMPROVEMENT
NHS Hartlepool and Stockton-on-Tees CCG OUTSTANDING GOOD
NHS Hastings and Rother CCG INADEQUATE REQUIRES IMPROVEMENT
NHS Herts Valleys CCG GOOD REQUIRES IMPROVEMENT
NHS High Weald Lewes Havens CCG REQUIRES IMPROVEMENT GOOD
NHS Lambeth CCG OUTSTANDING GOOD
NHS Luton CCG GOOD REQUIRES IMPROVEMENT
NHS Mansfield and Ashfield CCG REQUIRES IMPROVEMENT INADEQUATE
NHS Medway CCG REQUIRES IMPROVEMENT GOOD
NHS Newark & Sherwood CCG REQUIRES IMPROVEMENT INADEQUATE
NHS Newbury and District CCG GOOD OUTSTANDING
NHS Newcastle Gateshead CCG OUTSTANDING REQUIRES IMPROVEMENT
NHS North & West Reading CCG GOOD OUTSTANDING
NHS North Cumbria CCG GOOD REQUIRES IMPROVEMENT
NHS North Lincolnshire CCG REQUIRES IMPROVEMENT INADEQUATE
NHS North Somerset CCG REQUIRES IMPROVEMENT INADEQUATE
NHS North Staffordshire CCG GOOD REQUIRES IMPROVEMENT
NHS North West Surrey CCG GOOD REQUIRES IMPROVEMENT
NHS Northern, Eastern and Western Devon CCG GOOD REQUIRES IMPROVEMENT
NHS Northumberland CCG REQUIRES IMPROVEMENT INADEQUATE
NHS Nottingham City CCG REQUIRES IMPROVEMENT GOOD
NHS Redditch and Bromsgrove CCG GOOD INADEQUATE
NHS Rotherham CCG GOOD OUTSTANDING
NHS Shropshire CCG REQUIRES IMPROVEMENT INADEQUATE
NHS Solihull CCG GOOD INADEQUATE
NHS Somerset CCG REQUIRES IMPROVEMENT INADEQUATE
NHS South Cheshire CCG REQUIRES IMPROVEMENT INADEQUATE
NHS South East Staffs and Seisdon Peninsular CCG INADEQUATE REQUIRES IMPROVEMENT
NHS South Gloucestershire CCG REQUIRES IMPROVEMENT INADEQUATE
NHS South Kent Coast CCG INADEQUATE GOOD
NHS South Lincolnshire CCG REQUIRES IMPROVEMENT GOOD
NHS South Norfolk CCG REQUIRES IMPROVEMENT GOOD
NHS South Reading CCG GOOD OUTSTANDING
NHS South Tees CCG INADEQUATE GOOD
NHS South Warwickshire CCG REQUIRES IMPROVEMENT GOOD
NHS South West Lincolnshire CCG REQUIRES IMPROVEMENT GOOD
NHS Southend CCG INADEQUATE REQUIRES IMPROVEMENT
NHS Southern Derbyshire CCG REQUIRES IMPROVEMENT GOOD
NHS Southwark CCG OUTSTANDING GOOD
NHS St Helens CCG GOOD REQUIRES IMPROVEMENT
NHS Stafford and Surrounds CCG INADEQUATE REQUIRES IMPROVEMENT
NHS Stoke on Trent CCG GOOD REQUIRES IMPROVEMENT
NHS Surrey Downs CCG REQUIRES IMPROVEMENT GOOD
NHS Surrey Heath CCG GOOD OUTSTANDING
NHS Sutton CCG REQUIRES IMPROVEMENT GOOD
NHS Telford and Wrekin CCG REQUIRES IMPROVEMENT GOOD
NHS Thanet CCG REQUIRES IMPROVEMENT GOOD
NHS Vale of York CCG REQUIRES IMPROVEMENT INADEQUATE
NHS Vale Royal CCG REQUIRES IMPROVEMENT INADEQUATE
NHS Walsall CCG GOOD REQUIRES IMPROVEMENT
NHS Warrington CCG GOOD REQUIRES IMPROVEMENT
NHS Warwickshire North CCG REQUIRES IMPROVEMENT GOOD
NHS West Cheshire CCG GOOD REQUIRES IMPROVEMENT
NHS West Lancashire CCG GOOD REQUIRES IMPROVEMENT
NHS West Leicestershire CCG REQUIRES IMPROVEMENT OUTSTANDING
NHS West Norfolk CCG INADEQUATE REQUIRES IMPROVEMENT
NHS Wokingham CCG GOOD OUTSTANDING
NHS Wyre Forest CCG GOOD REQUIRES IMPROVEMENT