Holding providers to account

The CCG is responsible for planning and buying (commissioning) healthcare services to meet the needs of local people. The services we buy include GP services, Community services, Hospital services and Mental health services. In Lincolnshire, some of the main organisations that provide these include:

Commissioned services                  


GP services                        

  • 26 member GP practices within the Lincolnshire East CCG area
  • 30  member practices within the Lincolnshire West CCG area
  • 13 member practices within the South Lincolnshire CCG area
  • 17 member practices within the South West CCG area

Mental health services

Lincolnshire Partnership NHS Foundation Trust

Hospital services


  • United Lincolnshire Hospitals NHS Trust (Lincoln County Hospital, Pilgrim Hospital, Boston and Grantham and District Hospital)
  • Northern Lincolnshire and Goole NHS Foundation Trust
  • North West Anglia NHS Foundation Trust (Peterborough City Hospital, Hinchingbrooke Hospital and Stamford & Rutland Hospital)

Community services


Lincolnshire Community Health Services NHS Trust

Care and Nursing Homes               

Commissioned by Lincolnshire County Council

Nursing Care is quality monitored by NHS CCGs

How we hold providers to Account

Systems and processes to check the quality of services and patient opinion

We use the following processes to check the Quality of Services:

  • Complaints, compliments and comments data
  • National Surveys such as Care Quality Commission Survey
  • Friends and Family Test results
  • Feedback provided by Healthwatch Lincolnshire
  • Local surveys
  • Quality Visits to providers
  • Listening Clinics
  • Contract Monitoring

Changes to services

When providers need to make a change to services, they are required to let commissioners know.  The Clinical Commission Group will ask about their plans to engage and involve patients in their changes.  We would get involved in this process where this was appropriate or would request to see evidence of the involvement activity before any decisions about changes to services are made.  Some examples of this are below:

GP Services

Pain Management Service – Connect Health

  • When two practices needed to merge, the CCG ask them to undertake a consultation or engagement exercise, led by the CCG.
  • The results of the patient consultation/ engagement are discussed at the Primary Care Commissioning Committee and the engagement results impacts the decisions that are     made.
  • Lincolnshire Patients raised some concerns (either in person or through PPG representatives) in relation to the Pain Management Service.
  • The CCG asked Connect Health to address these concerns, a summary of their actions can be reviewed here

Involvement of the Quality and Equality teams

The involvement of our Quality team and Equality lead are really important when planning changes to health services.  The CCGs engagement team work closely with both to ensure the CCG is asking the right questions, especially regarding people in our population who may find it harder to access our services, or take part in our engagement exercises.

Engagement Leads Meeting

The CCGs and NHS providers in Lincolnshire are currently meeting monthly to find out what engagement work each organisation is doing, in order to work together as a health care system.  Each organisation also takes action based on the feedback received from patients and the public, as a result of our engagement work.

Our work with our GP practices

Since April 2016, it has been a contractual requirement for practices in England to have a PPG, and to make reasonable effort that the group is representative of the practice population. (Guidance for GMS contract 2015/16).The CCG encourage all practices to have a Patient Participation Group, and provide support to practices with setting these up and attending their meetings to provide updates. We have produced a PPG Toolkit to support with this work. See PPG Toolkit >>