CCG Assurance

NHS England Assessment of CCG Performance

The CCG assurance process has been designed to provide confidence to stakeholders and the wider public that CCGs are operating effectively to commission safe, high quality and sustainable services within their resources.

The assessment is made through four checkpoint meetings held throughout the year where NHS England in our case NHS England; Durham, Darlington and Tees; meet with CCGs to review how well they have been delivering against their plans and to discuss progress against the five CCG assurance domains.  The CCG also holds teleconferences with NHS England in order to keep them up to date with progress in between the meetings.

Assurance framework

NHS England has a statutory duty to conduct an annual assessment of every CCG in England.

NHS England launched My NHS which publishes and shares the CCG scorecard through each year of the NHS Five Year Forward View.

In 2017, NHS England also introduced the CCG improvement and assessment framework which replaced the previous CCG Assurance Framework.

The CCG improvement and assessment framework aligns with Department of Health’s NHS Mandate and with the NHS Five Year Forward View.

Improvement and Assessment Framework

CCGs have statutory duties to involve the public in commissioning.

NHS England needs to assess how well each CCG does this.  In 2017/18 the IAF reporting was introduced and NHS England reviewed our Annual Report from 2016/17 and our website to RAG rate the CCG.

The key areas the CCG are measured against come under the following headings:

Domain A Domain B Domain C Domain D Domain E
Governance Annual reporting Day to day practice Feedback and evaluation Equalities and health inequalities


NHS South Tees scores for 2017 – 18

Domain A Domain B Domain C Domain D Domain E Final Score Final RAGG*
3 2 2 2 2 11 Green- which equates to good

Key Grade:

0 Inadequate                                   2 Good

1 Requires improvement               3 Outstanding

CCG Improvement Assessment Framework 2018/ 19

  • In 2018/19 the process is that CCGs will self-assess based on the same domains as 2017/18.
  • CCG need to demonstrate how we meet the criteria and reflect this on the website and use evidence from the 2017/18 Annual Report



NHS South Tees CCG 360° Stakeholder Survey 2016

The CCG 360 stakeholder survey 2017 was conducted by Ipsos MORI on behalf of NHS England between 16 January to 24 February 2017.

The CCG submits the names and contact details of all relevant stakeholders who have agreed to take part to Ipsos Mori via a secure online portal. Ipsos Mori sends the surveys to the stakeholders for anonymous completion and submission. Each CCG is issued with a full report of the survey results.


CCGs need to have strong relationships with a range of health and care partners in order to be successful commissioners within the local system. These relationships provide CCGs with ongoing information, advice and knowledge to help them make the best possible commissioning decisions.

The survey provides valuable feedback for CCGs to learn from examples of successful engagement. It also focuses on key areas for improvement in stakeholder relationships and enables an understanding of how views may have changed over time.

Summary of results

The overall findings were an improvement compared to previous years.

86% of respondents rated the extent of engagement by the CCG as a great deal or fair amount of engagement compared to 2016 with 82%.

65% of stakeholders were positive about the degree of involvement with the CCG and the level of responsiveness

96% of stakeholders agreed that there is clear leadership of the CCG.

The area where the CCG has areas of improvement includes:

Although a high majority of stakeholders felt that NHS South Tees CCG had a good working relationship with them, some stakeholders felt that the CCGs relationship with the two local authorities needed improving.

The CCG does actively involve patients and the public through existing channels for public engagement. However, the CCG needs to improve how it communicates and engages with patients and the public so that there are increased opportunities for people to influence commissioning decisions through involvement.

South Tees CCG 360 Stakeholder Survey Results

South Tees CCG 360 Stakeholder Survey – verbatim comments