Transforming our health care system: ten priorities for commissioners

Revised edition 30 April 2015 Introduction The organisations commissioning health services in England changed radically in April 2013. Clinical commissioning groups (CCGs) are now responsible for the majority of the NHS budget, controlling around £69 billion in 2015/16. Public health budgets of £2.8 billion have transferred to local authorities (although this figure does not take into account the in-year budget cuts to the public health grant of £200 million announced in June 2015, or the funding that will flow to local authorities due to the transfer of significant NHS responsibilities from October 2015). NHS England is responsible for commissioning primary care (£12 billion) and specialised services (£15 billion), largely through its 4 regional teams and the sub-regions that sit beneath them. As of April 2015, in most parts of the country NHS England shares these responsibilities with CCGs through cocommissioning arrangements, although the extent of delegation varies between CCGs.