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Huge improvement seen in CCGs’ official assessment ratings

Annual assessment finds soaring number of outstanding or good ratings for CCGs and a third fewer inadequate

Louise Prime

Friday, 12 July 2019

The proportion of clinical commissioning groups (CCGs) officially rated as "outstanding" has soared by almost 27% over the past year while the proportion as "inadequate" plummeted by more than a third, according to NHS England’s latest assessment*. NHS Clinical Commissioners (NHSCC) said the figures are welcome recognition of the hard work that CCGs are doing nationally to care for their patients, and provide evidence that they are working effectively.

NHS England has a statutory duty to undertake an annual assessment of CCGs. The overall is assessment derived from CCGs’ performance against the improvement and assessment framework (IAF indicators), and includes an assessment of CCG leadership and financial management. It has now published the results of this year’s assessment, which shows that:

  • The proportion rated "outstanding" soared by 26.8% over the past year, from 9.7% in 2017-18 to 12.3% in 2018-19
  • The proportion rated "good" rose by 8.3%, from 48.3% last year to 52.3% this year
  • The proportion rated either "outstanding" or "good" rose by 11.4%, from 58.0% to 64.6%
  • The proportion rated "requires improvement" fell by 10.8%, from 33.3% last year to 29.7% this year.
  • The proportion rated "inadequate" plummeted by 35.6% over the past year, from 8.7% to 5.6%.

NHSCC, which represents CCGs nationally, welcomed yesterday’s publication of the new annual assessment ratings which it said are well-deserved recognition of CCGs’ hard work . NHSCC chief executive Julie Wood commented: “Today’s annual assessment results show that CCGs are working effectively. We are pleased to see an increase in the number of CCGs rated as either outstanding or good; well-deserved recognition of the hard work that CCGs across the country are doing to make a positive difference for the people they serve.

“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.”


*CCG annual assessment report 2018/19. A report prepred by NHS England, 11 July 2019.

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