Clinical commissioning groups ccgs were created following the health and social care act in 2012 and replaced primary care trusts on 1 april 2013 they are clinically led statutory nhs bodies responsible for the planning and commissioning of health care services for their local area as of 1 april 2019 there are 191 ccgs in england. Since the 2012 act came into force there have been a number of changes to the way that commissioning is delivered in practice there is a trend towards commissioning over larger areas with local nhs organisations increasingly working together and many examples of ccgs and local authorities working closely to support the integration of services across health and social care. Health and social care strategic and commissioning plan l dundee health and social care partnership l 7 the public bodies joint workingscotland act 2014 the act requires nhs boards and local authorities to integrate planning for and delivery of certain adult health and social care services. Background the wide ranging program of reforms brought about by the health and social care act 2012 in england fundamentally changed the operation of the public health system moving responsibility for the commissioning and delivery of services from the national health service to locally elected councils and a new national public health agency
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