The Clinical Commissioning Group (CCG) Functions project first ran in 2016 with the aim of supporting CCGs by providing comparative analysis about CCGs in their own right, rather than just the services they commission. The project uses publicly available data where available and information from a short questionnaire to compare metrics covering CCG populations, structures and functions.
CCGs are unique and varied organisations. CCGs provide services on a population basis and their relatively small size (in terms of staffing levels) makes them very different to NHS Provider organisations. For example, Human Resources is one of the functions that is least likely to be outsourced by a Provider organisation, but one most likely to be outsourced by a CCG.
This is the third annual cycle of the project and it largely follows the same structure as the 2017/18 project, providing comparisons from two major national data sources (QOF and the CCG outcomes and improvement framework) along with comparisons from the short questionnaire completed by participants.
The project reflects the increase in collaboration and integration at CCG level, with evidence of some CCGs delegating statutory responsibilities to local strategic commissioning bodies, and also the start of cases of delegating statutory responsibility to provider led-bodies. In delivering CCG's work, local collaboration between CCGs has shown a significant increase from previous years.
Staffing levels in CCGs have more than doubled since their creation in 2013, with year on year increases in staff numbers. Despite this, the CCG workforce (approximately 18,000 WTE) remains significantly smaller than the Primary Care Trust (PCT) workforce was prior to these organisations being disbanded.
The project provided comparisons of condition prevalence and the CCG Assessment and Outcomes Framework with both STP and 10 most similar CCG peer group comparisons to help better understand your positions and in the case of STP peer group to help support collaborative working.
Participants can view their local positions on all the metrics in a bespoke report available upon request.
The 2018 project is now complete. The Network remains committed to supporting CCGs and the 2019/20 work programme includes a new project to support work around STPs/ICSs. If you have any comments or suggestions with regards to this report, or suggestions on how the Network could further support CCGs, please don't hesitate to contact Aidan Rawlinson.