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</div> <div class="row"> <aside class="subnav group normal_nav desktop-only" role="complementary"><div class="sub-nav"><nav class="nav-collapse"><ul> <li class="top"><a href="https://www.england.nhs.uk/commissioning">NHS commissioning</a></li><li class="parent"><a href="https://www.england.nhs.uk/commissioning/who-commissions-nhs-services/">Who commissions NHS services?</a></li><li class="children-nav"><ul><li class="page_item page-item-51604"><a href="https://www.england.nhs.uk/commissioning/who-commissions-nhs-services/ccg-ics/">Integrated care systems (ICSs)</a></li> </ul></li><li class="page_item page-item-51600"><a href="https://www.england.nhs.uk/commissioning/what-is-commissioning/">What is commissioning?</a></li> <li class="page_item page-item-51636"><a href="https://www.england.nhs.uk/commissioning/commissioned-services/">Commissioned services</a></li> <li class="page_item page-item-51616"><a href="https://www.england.nhs.uk/commissioning/regulation/">Commissioning Oversight</a></li> <li class="page_item page-item-51618"><a href="https://www.england.nhs.uk/commissioning/how-commissioning-is-changing/">How commissioning is changing</a></li> <li class="page_item page-item-50638"><a href="https://www.england.nhs.uk/commissioning/primary-care/">Primary care</a></li> <li class="page_item page-item-35395"><a href="https://www.england.nhs.uk/commissioning/spec-services/">Specialised services</a></li> <li class="page_item page-item-47903"><a href="https://www.england.nhs.uk/commissioning/continence/">Continence</a></li> <li class="page_item page-item-47926"><a href="https://www.england.nhs.uk/commissioning/orthotic-services/">Orthotic services</a></li> <li class="page_item page-item-47674"><a href="https://www.england.nhs.uk/commissioning/nut-hyd/">Nutrition and hydration</a></li> <li class="page_item page-item-28704"><a href="https://www.england.nhs.uk/commissioning/cpag/">Clinical Priorities Advisory Group (CPAG)</a></li> <li class="page_item 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href="https://www.england.nhs.uk/commissioning/pub-hlth-res/">Public health commissioning</a></li> <li class="page_item page-item-48153"><a href="https://www.england.nhs.uk/commissioning/ccg-engagement/">CCG engagement</a></li> </ul></nav> </div></aside> <div class="page-content" id="main-content"> <nav class="breadcrumbs"> <ul> <li><a href="/">Home</a></li><li><a href="https://www.england.nhs.uk/commissioning">NHS commissioning</a></li><li>Who commissions NHS services?</li> </ul> </nav> <header> <h1>Who commissions NHS services?</h1> </header> <article class="rich-text"> <p>Services are commissioned by integrated care boards (ICBs) overseen by NHS England on a regional and national basis.</p> <p>Find out more about how services are commissioned:</p> <ul> <li><a href="https://www.england.nhs.uk/integratedcare/what-is-integrated-care/">ICBs</a></li> </ul> <h2>The closure of CCGs</h2> <p>Clinical commissioning groups (CCGs) were originally established as part of the Health and Social Care Act in 2012, and replaced primary care trusts on 1 April 2013.</p> <p>On 1 July 2022, integrated care systems (ICSs) became legally established through the Health and Care Act 2022, and CCGs were closed down.</p> </article> <div class="comment-area"> </div> </div> <aside class="subnav group normal_nav mobile-only" role="complementary"><div class="sub-nav"><nav class="nav-collapse"><ul> <li class="top"><a href="https://www.england.nhs.uk/commissioning">NHS commissioning</a></li><li class="parent"><a href="https://www.england.nhs.uk/commissioning/who-commissions-nhs-services/">Who commissions NHS services?</a></li><li class="children-nav"><ul><li class="page_item page-item-51604"><a href="https://www.england.nhs.uk/commissioning/who-commissions-nhs-services/ccg-ics/">Integrated care systems (ICSs)</a></li> </ul></li><li class="page_item page-item-51600"><a href="https://www.england.nhs.uk/commissioning/what-is-commissioning/">What is commissioning?</a></li> <li class="page_item page-item-51636"><a href="https://www.england.nhs.uk/commissioning/commissioned-services/">Commissioned services</a></li> <li class="page_item page-item-51616"><a href="https://www.england.nhs.uk/commissioning/regulation/">Commissioning Oversight</a></li> <li class="page_item page-item-51618"><a href="https://www.england.nhs.uk/commissioning/how-commissioning-is-changing/">How commissioning is changing</a></li> <li class="page_item page-item-50638"><a href="https://www.england.nhs.uk/commissioning/primary-care/">Primary care</a></li> <li class="page_item page-item-35395"><a href="https://www.england.nhs.uk/commissioning/spec-services/">Specialised services</a></li> <li class="page_item page-item-47903"><a href="https://www.england.nhs.uk/commissioning/continence/">Continence</a></li> <li class="page_item page-item-47926"><a href="https://www.england.nhs.uk/commissioning/orthotic-services/">Orthotic services</a></li> <li class="page_item page-item-47674"><a href="https://www.england.nhs.uk/commissioning/nut-hyd/">Nutrition and hydration</a></li> <li class="page_item page-item-28704"><a href="https://www.england.nhs.uk/commissioning/cpag/">Clinical Priorities Advisory Group (CPAG)</a></li> <li class="page_item page-item-45981"><a href="https://www.england.nhs.uk/commissioning/comm-carers/">Commissioning for carers</a></li> <li class="page_item page-item-21612"><a href="https://www.england.nhs.uk/commissioning/armed-forces/">Armed Forces healthcare commissioning</a></li> <li class="page_item page-item-28701"><a href="https://www.england.nhs.uk/commissioning/rdag/">Rare Diseases Advisory Group (RDAG)</a></li> <li class="page_item page-item-24307"><a href="https://www.england.nhs.uk/commissioning/policies/">Commissioning policies</a></li> <li class="page_item page-item-21076"><a href="https://www.england.nhs.uk/commissioning/health-just/">Health and justice</a></li> <li class="page_item page-item-33722"><a 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