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How we fit into the NHS structure

NHS Bradford City CCG was established as part of the major changes to the NHS set out in the 2010 White Paper Equity and Excellence - Liberating the NHS which became law under the Health and Social Care Act 2012. 

As of April 2013 Primary Care Trusts were abolished under the 2012 Act and clinical commissioning groups (CCGs) became responsible for commissioning (buying) health and care services including:

This means that CCGs are empowered and enabled to improve services locally for the benefit of patients and local communities.

Primary care co-commissioning is one of a series of changes set out in the NHS Five Year Forward View. Co-commissioning is a key enabler in developing seamless, integrated out-of-hospital services based around the needs of local populations. Benefits for the public and patients include:

It also drives the development of new models of care such as multispecialty community providers and primary and acute care systems. 

On 1 April 2015 our CCG accepted full delegated responsibility from NHS England to commission GP primary care services. We are passionate about improving quality across all practices and the introduction of this delegation is seen as an essential step towards expanding and strengthening primary medical care.

To support our role, we have established a primary care commissioning committee whose role is to make decisions on the review, planning and procurement of primary care services in our area, under delegated authority from NHS England.

CCGs are overseen by NHS England, a national body formed under the 2012 Act. Local offices of NHS England oversee a group of CCGs such as Bradford Districts and also manage some aspects of primary care commissioning, such as services commissioned from NHS dentists, pharmacies and opticians.

As well as creating CCGs and NHS England, the Act established several other new bodies including:

A vision for the NHS

In 2010, the government set out its long-term vision for the future of the NHS in the NHS White Paper, Equity and excellence: Liberating the NHS. This was supplemented, in 2014, by the NHS Five Year Forward View which, together with associated planning guidance, sets out a vision for the NHS. 

The Five Year Forward View states why change is needed, what that change might look like and how it can be achieved. It describes various models of care which could be provided in the future, defining the actions required at local and national level to support delivery. Everyone will need to play their part – system leaders, NHS staff, patients and the public – to realise the potential benefits for us all. It covers areas such as disease prevention; new, flexible models of service delivery tailored to local populations and needs; integration between services; and consistent leadership across the health and care system.

The Five Year Forward View starts the move towards a different NHS, recognising the challenges and outlining potential solutions to the big questions facing health and care services in England. It defines the framework for further detailed planning about how the NHS needs to evolve over the next five years.

The planning guidance - Everyone Counts:  Planning for Patients 2015/15 and 2015/16 - sets out a bold framework within which commissioners will work with providers and partners in local government to develop strong, robust and ambitious five year plans to secure the continuity of sustainable high quality care for all. It seeks:

The NHS Constitution For England - the NHS Constitution has been created to protect the NHS and make sure it will always do the things it was set up to do in 1948 - to provide high-quality healthcare that’s free and for everyone.

The NHS Constitution will also make sure that no government can change the way the NHS works without getting the approval of staff, patients and the public. The constitution is a promise that the NHS will always be there for you. 

National Service Frameworks

National outcomes frameworks set clear quality requirements for care. These are based on the best available evidence of what treatments and services work most effectively for patients.

One of the main strengths of each strategy is that it is inclusive, having been developed in partnership with health professionals, patients, carers, health service managers, voluntary agencies and other experts.
There are frameworks and strategies in place for:

Organisational structure

You can find more information about our organisational structure in the about us section, including:

You can view our organisation structure chart here

Key organisations with which we work in partnership

We are committed to working in partnership with a range of organisations, inlcuding:

Organisations that hold us to account

Senior executives, management board and governing body members

Information about governing body members and management can be found in our about us section.

Location and contact details of public facing departments

The location and contact details of our CCG can be found on the contact us page.