All the new Commissioning Groups in the South West

I was asked by a local charity whether I had details of all of the new Clinical Commissioning Groups (CCGs) in the south west and which LINk and PCT related to which CCG. The CCGs are the groups that are taking over responsibility for health commissioning as part of the ‘NHS Reforms’. (See my post here for a nice simple explanation of the reforms.)

Well I rummaged through the piles of paper on my desk but I couldn’t find all the information in one place, so I’ve put it together in a spreadsheet for you:

LINks and CCGs in the south west

LINks and CCGs in the south west

It’s worth remembering that the LINk that covers any area will also be the same as the Local Authority (council) that covers the area. That’s useful because of course, the Local Authorities host the Health & Wellbeing Boards, which are another part of the new landscape.

CCGs (and PCTs) in the south west all mapped nicely:

This is a useful picture which is handy for the wall in the office. It shows all the PCT “Clusters” (i.e. the ‘merged’ PCTs which cover larger areas, which are merging to save on resources i.e. staff as everything is handed over the new CCGs) and how they relate (in terms of areas that they cover) to the new CCGs. It is Quite Interesting and if you work in this area, you should jolly well know all about it (click for a larger image):

CCGs and 'Cluster' PCTs in the south west

CCGs and ‘Cluster’ PCTs in the south west

The Devon Picture:

The situation in some areas is nice and simple. For example, in Somerset, we have one PCT (which has ‘clustered with itself’ – don’t ask), one local authority (i.e. council), one Clinical Commissioning Group and one LINk.  See how smug and sensible we are?

However, in other areas, such as Devon, you have a bit of a spaghetti of clustered PCTs and CCGs and LINks drunkenly sprawled all over each other with no apparent coherence or co-terminosity whatsoever.  Caroline at the Devon LINk sent me this handy PDF which explains the Devon situation in five maps, so if you are a Devon person, you might like to study these maps so that you can attempt to give yourself a migraine memorising the whole thing:

The new health landscape in Devon

The new health landscape in Devon

What to do with this data:

  • Print it out and stick it on the wall: It’s colourful and USEFUL. Hoorah.
  • Read it: This is all useful background information, to give you a flavour of how the new NHS landscape is shaping up in the south west.
  • Use the contact details: If you need to plan any work across the south west, these contact details should come in handy.
  • Tell me if I’m wrong or send me more information:Let me know if you have any useful maps of your area, or indeed if Devon is actually really simple and I’m just a bit dim.

P.S. Thanks to Mark Woodcock at the Strategic Health Authority for helping me find some of this data!

The NHS Reforms on One Side of A4 … including Public Health England

And then I made a version with Public Health England on it…

“Where is Public Health England?” pointed out a keen Twitterer, who was perusing my very pretty “NHS Reforms on one side of A4“, so I had to go back and glue in some more pieces.

Hmmm… I do worry that the trouble with sharing this version with members of the public is that it might be tipping the diagram into Thanks-But-Now-I-Really-Am-Glazing-Over territory (the ‘PCT Clustering’ effect), but I will include it for accuracy:

NHS Reforms with Public Health England

 What to do with this data:

The NHS Reforms on one side of A4

What you can download here:

>> The NHS Reforms on one side of A4
>> The NHS Reforms in Somerset on one side of A4
>> The NHS Reforms document in PowerPoint, so you can make your own local version!

After explaining the NHS Reforms for the millionth time to a member of the public (in biro on the back of an NHS Catering serviette) I set myself the challenge of trying to produce a one-page diagram showing the very basics of the reforms.

Here is my final effort:

The NHS Reforms - on one side of A4

The NHS Reforms - on one side of A4

I decided to make it very simple and stick to the BIG MESSAGES, rather than attempting to capture the detail e.g. of clustering, which seems to make the most enthusiastic member of the public glaze over and start looking for their PPI sandwich rations, but so far this diagram seems to do the job. I think it gets the balance between boring people senseless and over-simplifying, but I’m very open to any suggested amendments.

And then I made a local version…

Well I liked this so much that I made a local version for Somerset, showing exactly what budgets were going where, and what the GP localities looked like in the county. So here is the local picture for Somerset:

The NHS Reforms in Somerset

The NHS Reforms: Somerset version

What to do with this data:


NHS Organograms – the old vs. the new

The poor Datagoat has been rather neglected of late, but I have a nice juicy organogram to cheer us all up.  I am working on some other bits and pieces too, but this was too delicious not to share.

The Westminster Blog has published these fabbie organograms showing how the structure of the NHS is changing.  Click on the smaller images in the blog and they will take you to larger, clearer images.

The Westminster Blog

A yummy organogram

What to do with this data

The diagrams speak for themselves which is why I love them so much.  They are very useful for conveying to people some of the enormous complexity of how things are changing.

I have printed them out and stuck them on the wall of the datagoat’s pen so I can admire them during the day, and I recommend that you do the same.*

*They have actually missed out Local HealthWatches, so you will need to draw those on with a crayon.

What the NHS has got to do in the next year

The NHS Confederation is a useful source of briefing papers about goings-on in the NHS.  A couple of months ago I was sent their briefing paper (a handy cut-out-and-keep Guide) on ‘The Operating Framework 2011-12″ – in other words, ‘What the NHS has got to do in the next year’.

NHS Confederation Briefing Paper

Download A Handy Guide to ‘What the NHS has go to do in the next year’

>> Download the briefing paper  ‘The operating framework for the NHS in England 2011/12’ here

This briefing paper  simplifies a lot of complicated information about the major changes that will occur in the NHS over the next year (and beyond).

The next year (April 2011-April 2012) is sometimes referred to as the ‘transition year’ because it is the first full financial year that the NHS will be in transition from the old structure to the new, reformed structure.

The big change of course is that health services will not be commissioned via Primary Care Trusts (PCTs) but will be commissioned via doctors, who will be getting together into ‘consortia’. But there are lots of other changes, too, and this paper is the easiest way of getting your head around all of this information in one sitting. It explains how the NHS has got to save money, change structure, move from PCTs to GP Commissioning Consortia, turn all Trusts into Foundation Trusts, transform Public Health and squillions of other enormous and complicated tasks – and it explains all of this in a mere seven pages.

Who are the ‘NHS Confederation’?
“The NHS Confederation is the independent membership body for the full range of organisations that make up the modern NHS.  We have over 95 per cent of NHS organisations in our membership including ambulance trusts, acute and foundation trusts, mental health trusts and primary care trusts … We support the NHS to deliver high-quality services and improve the nation’s health and well-being.”  (From their website at

Now I should point out that generally, NHS Confederation Briefing papers aren’t usually accessible to the public.  But I really, really wanted to put this one on the datagoat blog as I think it’s super-useful, and luckily for us, the NHS Confederation agreed that it was a good idea: “We generally like to keep most documents confidential so that it’s clear to members that they have had benefits from being members that are not available to the wider public. However, we think that making the operating framework briefing available to LINks will help our members because it will contribute to better scrutiny by local LINks.”  So a big thanks to the NHS Confederation for putting this really useful document in the public domain.

What to do with this data:
Sit down and read it.  Stick it on your wall. Put it in your handbag to re-read while you are waiting for your bus. Send the above link to all your LINk chums and anyone that might be interested in the NHS reforms. Wow your friends at dinner parties with your amazing grasp of the changing NHS landscape.  (Can you tell that I like this document?)

Now if only all information and consultations that came out of the Department of Health was summarised for us by the NHS Confederation, public scrutiny would be a far more managable task…