Health and Wellbeing in the new
NHS commissioning landscape
Natasha Cooper
Strategic Commissioning Development Manager
26 March 2012
1. Introduction
2. Clinical Commissioning Groups
3. NHS Commissioning Board
4. Commissioning Support Services
5. Conclusion
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Now London has 32 ‘emerging CCGs’
Enfield
Barnet
Harrow
Waltham
Forest
Haringey
Hillingdon
Brent
Camden Islington
City &
Hackney
emerging CCG
Ealing
Redbridge
Havering
Barking &
Dagenham
Tower Newham
Westminster
Hammersmi
Hamlets
City of London
th & Fulham
Local Authority
West London
Great West Commissioning
Commissioning
Consortium
Southwark
Greenwich
Lambeth
Richmond
All are coterminous with their
local authority except for:
City & Hackney CCG
covers the boroughs of
Hackney and the City of
London
Lewisham
Wandsworth
Bexley
Merton
Kingston
Bromley
Sutton
Croydon
West London
Commissioning covers the
whole of K&C and 12
practices in Westminster
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Health and wellbeing for CCGs
• JSNA and JHWS – equal and explicit duty to
prepare JSNA/JHWS with the local authority
• Commissioning plans must reflect the needs in
the JSNA/JHWS
• Held to account for improving health and
wellbeing
- Commissioning outcomes framework
- Annual report and assurance
The six key domains against which CCGs will be
assessed prior to authorisation
1.A strong clinical and professional focus which brings real added value;
2. Meaningful engagement with patients, carers and their communities;
3. Clear and credible plans which continue to deliver the QIPP (quality, innovation,
productivity and prevention) challenge within financial resources, in line with
national outcome standards and local joint health and wellbeing strategies;
4. Proper constitutional and governance arrangements, with the capacity and
capability to deliver all their duties and responsibilities including financial control
as well as effectively commission all the services for which they are responsible;
5. Collaborative arrangements for commissioning with other CCGs, local authorities
and the NHS Commissioning Board as well as the appropriate external
commissioning support;
6. Great leaders who individually and collectively can make a real difference.
NHS Commissioning Board
NHS CB Sectors – North, Midlands
and East, South and London
c50 local offices of NHS CB reflecting
current PCT clusters
Summary of functions
Summary of functions
 Co-ordination and oversight of local
offices
 Management of delivery of specialised
commissioning
 Support and co-ordination of clinical
senates and networks
 Performance oversight, including
intervention and failure regime
 Involvement in large scale
reconfigurations
 Co-ordination and oversight of
emergency preparedness
 Stakeholder engagement, particularly
with sub national presence of bodies
such as CQC and Monitor
 Managing the Board’s day-to-day
relations with CCGs, including providing
development support, and monitoring
performance and outcomes
 Direct commissioning, covering
offender health; military health,
specialised commissioning; and primary
care, including management of family
health service functions
 Professional and clinical leadership
 Partner and stakeholder engagement,
including representation on Health and
Wellbeing Boards
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Commissioning Support Services
 Commissioning Support Services will enable CCGs to focus on areas
where clinicians will have maximum impact on outcomes
 CCGs will be able to choose their commissioning support service
 Commissioning Support services can be provided by the NHS, local
authority, voluntary sector or private sector

NHS CSSs are going through a process of developing business plans
and supporting documents ahead of assurance based on customer
focus, leadership, business plan and delivery models (including
working with partners
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Conclusion
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