Health and social care in England

Macmillan supports you to plan across the cancer pathway, to deliver improved cancer outcomes and experiences.

Responsibility for commissioning for cancer services and care and support in England sits across multiple commissioners. Responsibilities vary in each area as some Clinical Commissioning Groups (CCGs) have taken on delegated powers for primary care commissioning (effective from April 2015).

Commissioning responsibility for the cancer pathway in England
Commissioning responsibility for the cancer pathway in England

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NHS England

NHS England has a budget for its direct commissioning responsibilities and allocates funding to (and monitors) CCGs to commission specific services for their populations.

Clinical commissioning groups (CCGs)

Clinical commissioning groups (CCGs) commission a large portion of the health services for their local population. They have clinical and non-clinical staff.

Local authorities

Local authorities are responsible for social care, public health, and broader determinants of health such as housing and education.

Health and wellbeing boards

Health and wellbeing boards sit as a formal sub-committee of a local authority. They act as a forum where key leaders from the health and care system work together to improve the health and wellbeing of their local population and reduce health inequalities. Members must include CCGs and local authorities (councillors and officers). They may have voluntary sector and provider representation.


Healthwatch are independent organisations set up to champion the views of patients and social care users. They give citizens and communities a stronger voice to influence and challenge how health and social care services are provided within their locality.

Commissioning support units

Commissioning support units provide support to CCGs (and NHS England, and some local authorities) in their commissioning responsibilities. For example, needs assessment, business intelligence, service design, procurement, and monitoring.