About us

How we are performing

NHS England is responsible for making sure that Clinical Commissioning Groups (CCGs) deliver the best possible services for patients.

To do this, NHS England has created a new Improvement and Assessment Framework for CCGs (CCG IAF) from 2016/17 onwards. This assesses how CCGs are doing in the following four areas, also known as ‘domains’:

  • Better Health: this looks at how the CCG is contributing towards improving the health and wellbeing of its population;
  • Better Care: this principally focuses on care redesign, performance of constitutional standards, and outcomes, including in important clinical areas;
  • Sustainability: this looks at how the CCG is remaining in financial balance, and is securing good value for money for patients and the public;
  • Leadership: this assesses the quality of the CCG’s leadership, the quality of its plans, how the CCG works with its partners, and the governance arrangements that the CCG has in place to ensure it acts with probity, for example in managing conflicts of interest.

In addition to the four domains there are separate assessments in six clinical priority areas: cancer, dementia, diabetes, learning disabilities, maternity and mental health.

An initial baseline assessment has been undertaken for each of these six clinical areas which rate the CCG as: top performing, performing well, needs improvement, or greatest need for improvement.

This provides a snapshot of the CCGs’ performance and is a useful starting point for future assessments.  Our initial baseline can be found here.