Clinical Commissioning Groups - Constitutions

All CCGs are required to have in place constitutions defining their governance and operating policies. These constitutions are important in establishing a genuine and collaborative engagement with practices. 


GP practices should ensure that the CCG constitution:

  1. contains a commitment for the CCG to engage with the LMC, as the local statutory representatives of the profession
  2. clearly outlines the dispute process by which practices can raise grievances with their CCG.

A practice should not sign up to their CCG constitution or interpractice agreement unless they are content with all aspects within either document.  If you have concerns, you should immediately seek advice from the LMC.

The CCG constitution should NOT include:

  1. Any clause or requirement relating contractual responsibilities of practices or any 'obligation' for practices to undertake work for the CCG. Such activity should be voluntary and resourced appropriately
  2. Requirements or sanctions relating to performance management of practices. The NHS Commissioning Board will have sole responsibility for the administration and management of practice contracts
  3. Details relating to the ‘expulsion’ of practices from the CCG CCGs will have no powers to expel a practice
  4. Details of any incentive schemes rewarding practices for remaining within budget or achieving financial savings.

Procedures for clinical commissioning group constitution change, merger or dissolution (NHSE May 2013)


Further guidance, including FAQs, on the CCG Constitutions page of the BMA website.

CCG Constitutions (GPC May 2012)


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Updated on Wednesday, 23 October 2019


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