The Future of Commissioning in the Black Country and West Birmingham

Latest update - 20 Oct 2020

Following the closure of the Formal Conversation on Monday 7 September 2020 where we asked your views about our proposal to change the future of commissioning for the Black Country and West Birmingham and merge our four CCGs, we have now concluded our period of engagement with GP members, staff, stakeholders and the public. The full engagement report can be found here.

We would like to thank all who submitted their views. Your contributions have been shared with GP Members and with our Governing Body members to help to inform their decision making. Following the GP member vote last week (12-15 Oct), our Governing Bodies in Common with meet on the 27 October to decide whether to submit an application into NHSE/I to merge.

You can view the Governing body Papers here.


Our formal conversation has now closed. The conversation report, including all of the feedback that we have received will now be finalised and an outcome will be shared at the end of October.

The Future of Commissioning in the Black Country and West Birmingham

Have your say - Monday 20 July to Monday 7 September 2020

Following two listening exercises during late 2019 and early 2020, we are now seeking views on a proposal to change the future of commissioning for the Black Country and West Birmingham and to merge our four CCGs.

Over the past year, we have moved to a shared leadership team and a single Accountable Officer for the four CCGs. We have also taken time to listen to member GPs, partners, patient representative groups and others in exploring how our four CCGs can work more efficiently and effectively across the healthcare system.

Ultimately the decision on whether we merge rests with NHS England but we want to hear your views on this. Your views will be presented to our GP membership before they vote on whether an application to merge is submitted to NHS England in October this year, which could see us become a single Black Country and West Birmingham CCG on the 1 April 2021.

This decision will have an impact on how we operate as commissioners and how we work together with you in the future. We ask that you please take the time to consider our proposal and respond to us with your views by 7 September 2020.


What are the benefits to closer working across the Black Country and West Birmingham?

  • Supports the move towards an Integrated Care System (ICS) for the Black Country and West Birmingham working in partnership with providers.
  • A single commissioning organisation will mean single commissioning policies across the whole of our ICS, putting an end to ‘postcode lotteries’ for services and treatments across the Black Country and West Birmingham
  • Will ensure a single, strong consistent vision and voice with CCGs’ partners
  • Working together as one organisation rather than four organisations will generate economies of scale and reduce duplication, enabling the CCGs to focus resources into front line services and patient care
  • A single CCG also lends itself to clearer governance than those which we have in the current collaborative arrangement, removing the need for joint committees and committees in common the lines of accountability will be much clearer between place and the Governing Body.

What we would like to hear your views on?

  • Changes to the NHS commissioning organisations across the Black Country and West Birmingham CCGs.
  • To what extent you agree with our proposal to merge the four CCGs and create a single commissioning organisation for the Black Country and West Birmingham

How you can share your views

We have developed a Conversation Document that sets out the detail to help you and us to make a fully informed decision. It sets out the reasons why we believe that we would be better placed to serve our local population, and reduce the health inequalities that exist today, as one single strategic commissioner.

To give us your views please complete our online survey.

View our FAQs here.

Alternatively, to request a hard copy of the conversation document please contact the engagement team on tel: 01902 444878 or by e-mail at