1. Working Together Across Cheshire
NHS Eastern Cheshire Clinical Commissioning Group
NHS South Cheshire Clinical Commissioning Group
NHS Vale Royal Clinical Commissioning Group
NHS West Cheshire Clinical Commissioning Group
Working Together Across Cheshire
May 2019

2. The current picture Working together across Cheshire:
NHS Eastern Cheshire Clinical Commissioning Group (CCG), NHS South Cheshire CCG, NHS Vale Royal CCG and NHS West Cheshire CCG

3. Working Together Across Cheshire
Is a programme of work to:
Support the development of Integrated Care Partnerships (coalitions of health and care providers) in Cheshire West and Cheshire East to deliver more joined- up care closer to home.
Strengthen integration and collaboration across the four Cheshire CCGs in move towards a potential single CCG.
Support better outcomes and experiences for patients.
Working together across Cheshire:
NHS Eastern Cheshire Clinical Commissioning Group (CCG), NHS South Cheshire CCG, NHS Vale Royal CCG and NHS West Cheshire CCG

4. Why do we need to change?
Care quality – we’re not currently meeting some NHS Constitution standards.
Unprecedented levels of demand for services.
Limitations in our ability to quickly deliver improvements. Examples of fragmented, inconsistent care remain.
Funding for health and care services is tight. Demand for services rising faster than budgets.
Significant system-wide challenges. Cheshire CCGs face annual challenge to balance the books.
Working together across Cheshire:
NHS Eastern Cheshire Clinical Commissioning Group (CCG), NHS South Cheshire CCG, NHS Vale Royal CCG and NHS West Cheshire CCG

5. Integrated Care Partnerships
Partnerships of multiple organisations delivering health and care services in the same geography – true system approach with collective accountability for budgets and outcomes.
ICPs are designed to join up hospital and GP services, health and social care, mental and physical health, and the NHS with local communities.
Development of ‘care communities’ which build on networks of GP Practices working together with community care teams to deliver care closer to home.
Greater emphasis on supporting prevention, promoting self-care and self-management of long-term conditions.
Services built on assets of local communities with more involvement of patients and users in service design and delivery.
Working together across Cheshire:
NHS Eastern Cheshire Clinical Commissioning Group (CCG), NHS South Cheshire CCG, NHS Vale Royal CCG and NHS West Cheshire CCG

6. Benefits of a single Cheshire CCG
More powerful national and regional voice
Commissioning at scale
Better use of the workforce
more consistent, joined-up care
Vale Royal
102,500 population
12 practices
East Cheshire
209,000 population
24 practices
South Cheshire
173,000 population
18 practices
West Cheshire
257,408 population
35 practices
Working together across Cheshire:
NHS Eastern Cheshire Clinical Commissioning Group (CCG), NHS South Cheshire CCG, NHS Vale Royal CCG and NHS West Cheshire CCG

7. Our proposals That a single Cheshire CCG is created from 1 April 2020
That the move to a single Cheshire CCG happens alongside the development of two Integrated Care Partnerships
That, during , the CCGs identify new opportunities to plan and buy services together
That the CCGs introduce shared decision-making processes before 2020
Working together across Cheshire:
NHS Eastern Cheshire Clinical Commissioning Group (CCG), NHS South Cheshire CCG, NHS Vale Royal CCG and NHS West Cheshire CCG

8. How we plan to get there
Timeline to April 2020 – ambition agreed by all four Cheshire CCGs.
Ongoing engagement with CCG Member Practices, the pubic and our stakeholders.
Strengthen existing collaborative commissioning arrangements – overseen by Joint Commissioning Committee.
CCG functions and services support the development of the Integrated Care Partnerships
Working together across Cheshire:
NHS Eastern Cheshire Clinical Commissioning Group (CCG), NHS South Cheshire CCG, NHS Vale Royal CCG and NHS West Cheshire CCG

9. Have Your Say
For a number of months all Cheshire CCGs have been discussing the proposals with clinicians, partner organisations and patient groups and forums.
To enable members of the community to have their say, a short online survey will be accessible via each CCG’s website between 28 May and 23 June 2019.
Paper copies of the survey can be requested from
We are inviting people to share their views and to stay involved by working with us to shape how we involve patients and the public in our work into the future.
Working together across Cheshire:
NHS Eastern Cheshire Clinical Commissioning Group (CCG), NHS South Cheshire CCG, NHS Vale Royal CCG and NHS West Cheshire CCG