• CCGs rated across 50 different areas
  • Five CCGs newly rated inadequate
  • But 10 CCGs have rating raised to outstanding

Sixty-three clinical commissioning groups have seen their overall performance ratings change over the past year, according to NHS England’s latest assessment framework.

The national governing body has published its annual ratings for 2018-19, which represent how well CCGs have performed across 50 different areas. These include financial stability, leadership and care quality services.

They are then judged to fall within one of four categories – outstanding, good, requires improvement or inadequate.

Two groups in the Midlands – North Staffordshire and Stoke on Trent CCGs – have dropped two ratings, from good to inadequate. Both reported large financial overspends last year.

However, two groups – Kernow and Coastal West Sussex CCGs – rose two ratings, from inadequate to good. 


CCGs newly rated inadequate

  • North Staffordshire CCG
  • Scarborough and Ryedale CCG
  • Shropshire CCG
  • Stoke on Trent CCG
  • Thanet CCG

CCGs newly rated outstanding

  • Bolton CCG
  • Bradford Districts CCG
  • City and Hackney CCG
  • Leeds CCG (CCG was formed from a merger of Leeds West CCG, Leeds North CCG, and Leeds South and East CCG, which were all rated good in 2017-18)
  • North East Essex CCG
  • North Tyneside CCG
  • Rotherham CCG
  • Surrey Heath CCG
  • Tameside and Glossop CCG
  • West Suffolk CCG

CCGs which have lost a previous outstanding rating

CCGs which have improved on a previous inadequate rating

  • Cambridgeshire and Peterborough CCG
  • Coastal West Sussex CCG
  • Crawley CCG
  • Eastbourne, Hailsham and Seaford CCG
  • Hambleton, Richmondshire and Whitby CCG
  • Hastings and Rother CCG
  • Horsham and Mid Sussex CCG
  • Kernow CCG
  • South Tees CCG
  • Southend CCG
  • West Norfolk CCG

Ten CCGs went from good to outstanding, 24 from requires improvement to good and nine from inadequate to requires improvement.

However, four have dropped from outstanding to good, nine from good to requires improvement, and three from requires improvement to inadequate.

Julie Wood, chief executive of NHS Clinical Commissioners, said: “The annual assessment is a useful marker for how well CCGs are performing and to hold them accountable.

“As the NHS changes, we will need to make sure that accountability and assessment measures also evolve to reflect the shared responsibility across systems and avoid duplication.

“On behalf of our members we will be working with NHS England to improve future assessment frameworks.”