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Authorisation Process and Timelines

All 212 Clinical Commissioning Groups throughout the country are going through an authorisation process before they take over much of the work done by Primary Care Trusts which are closing down under the new Health and Social Care Act 2012.  By April 2013, the whole of England will be covered by established Clinical Commissioning Groups.

Authorisation is a process designed to ensure that the new Clinical Commissioning Groups are fit for purpose. Authorisation is not an end in itself but a first step on a journey of continuous improvement.  It has three phases: 

  1. Pre-application: Emerging Clinical Commissioning Groups prepare to take on their full commissioning responsibilities and assemble the evidence they will need to become a fully-fledged organisation in their own right
  2. Application: Each aspiring Clinical Commissioning Group submits an application form to the NHS Commissioning Board Authority on or before their agreed application date
  3. NHS Commissioning Board assessment: The Board’s decision is based on a wide range of information and evidence including the views of the CCG’s partner organisations and site visits

There are three possible outcomes of the authorisation process:

  • Authorised
  • Authorised with conditions
  • Established but not authorised (i.e. the Clinical Commissioning Group becomes a “shadow” CCG

For further information about the authorisation process for Clinical Commissioning Groups, please view the Frequently Asked Questions.

 Key Timelines


Submission of evidence for authorisation

03 - 09 - 2012

Site visit

18 - 10 - 2012

Site visit feedback report

25 - 10 - 2012

Moderation Panel

03 - 12 - 2012

Conditions Panel

03 - 12 - 2012

NHS Commissioning Board Authorisation Sub-Committee Meeting

18 - 01 - 2013

CCG notified of authorisation decision

21 - 01 - 2013


Clinical Commissioning Group becomes fully operational as a statutory body

Here you can view a letter that we have received from Dame Barbara Hakin from the  NHS Commissioning Board in relation to our responsibilities as a stautory body from 1st April 2013.

Below are a list of documents which you can download on the various guidance that has been issued in relation to CCGs:

The functions of a clinical commissioning group

Directions to clinical commissioning groups

Apportionment to CCGs of Pharmaceutical Services Remuneration

Managing Conflicts of Interest