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Who we are

Who we are

The CCG is a member organisation – meaning that we are built up of the GP practices in west Hertfordshire. There are 54 member GP practices and these are arranged into four localities: Dacorum, Hertsmere, St Albans and Harpenden, and Watford and Three Rivers. A list of practices by locality is on the ‘Areas we serve’ page.

Our GPs understand the health needs of their patients, and we believe this local approach to commissioning helps ensure good quality services that meet the needs of the population. As well as our GP membership adding their local knowledge and expertise to help us carry out our role successfully, we work with groups of patients to make sure that their perspective is at the forefront of our decision-making too.

Our governing body - our board - is mostly made up of GPs and other clinicians and also includes our most senior managers as well as some lay members.

We have 166 permanent members of staff who work hard to improve local NHS services.


Notice: Following publication of the Health and Care Bill 2021, and subject to this Bill receiving Royal Assent – NHS Clinical Commissioning Groups will be dissolved with their duties and functions transferring to Integrated Care Boards on 1st July 2022. At present the shadow entity for the Integrated Care Board is the Herts and West Essex Integrated Care System. However, the final name for this new entity is to be confirmed once formally assigned.


The Health and Care Bill was introduced to Parliament in early July by the new Secretary of State for Health and Care, Sajid Javid. The Bill follows on closely from the publication of the Integrated Care System design framework, which reinforced the importance of public and voluntary sector health and care organisations working together to improve health and wellbeing for all.

The Health and Care Bill builds on the proposals for legislative change set out by NHS England and NHS Improvement in its Long Term Plan, while also incorporating valuable lessons learnt from the COVID-19 pandemic. The Bill’s introduction to Parliament follows extensive discussions with NHS England, the Local Government Association and the health and care sector.

The Bill introduces an Integrated Care Board, as well as a wider Integrated Care Partnership that each Integrated Care Board and its partner local authorities will be required to establish. The Integrated Care Partnerships will bring together local NHS organisations and local government - including social care, mental health services, housing providers and public health expertise - to deliver joined-up care for their local populations. Clinicians, carers and public health experts will be empowered to operate collaboratively across health and care to tackle health inequalities. The Bill also includes measures to tackle obesity and improve oral health. The Bill aims to help reduce unnecessary bureaucracy so that health and care staff can focus more on patients, and ensure the system is able to flex to changing needs in the years to come.

All Clinical Commissioning Group staff below Board level, and all functions of the CCGs will transfer to the ICS, along with many other duties and accountabilities. There will also be a transfer of several NHS England and NHS Improvement direct commissioning functions, which is currently being explored. Work is taking place across our system to ensure the transition is as smooth as possible.

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Knowing our population

In order to commission services for our population we need to understand its health needs, and put in place strategies and plans to meet those needs.  We work with the local authority Public Health Team to analyse and understand our population. Click the following links for more information: 

Equality and Health Inequalities Pack

Herts Valleys Equalities breakdown

Hertfordshire’s Health and Wellbeing Board

We are also a member of Hertfordshire’s Health and Wellbeing Board.  This brings together the NHS, public health, adult social care and children’s services, including elected representatives and Healthwatch Hertfordshire, to plan how best to meet the needs of Hertfordshire’s population and tackle local inequalities in health.

The Board signed off its refreshed joint Hertfordshire Health and Wellbeing Strategy at its public meeting on 14 June 2016 and the strategy will be refreshed in 2020 in consultation with stakeholders. View the strategy here.

At a local level our Your Care, Your Future strategy fully embraces Hertfordshire’s Health and Wellbeing Board’s vision of ‘with all partners working together we aim to reduce health inequalities and improve the health and wellbeing of people in Hertfordshire’.

Your Care, Your Future has contributed to each of the above principles and will continue to do so as the Health and Wellbeing Board’s strategy is delivered across four life themes:

  • Starting well

  • Developing well

  • Living well and

  • Working well and ageing well

    Each of the strategy's four life stages has goals with performance and outcome measures attached. The board receives updates on progress against the outcome measures. The Health and Wellbeing Strategy and performance dashboards, which are reviewed quarterly, can be seen here.

    The refreshed priorities for 2016/2020 are as follows:

Starting Well

Developing Well

Living Well, Working Well

Ageing Well

Narrowing the gap across localities

Improved mental health and wellbeing in children (CAHMS)

Increasing activity levels

Reducing falls

Perinatal mental health

Narrowing the gap in terms of outcomes across localities

Reducing obesity levels

Reducing preventable winter deaths

School readiness

Identifying the ‘vulnerable children and families’

Reducing preventable disability

Improving activity and reducing frailty levels in older people

Identifying the ‘vulnerable children and families’

Improving looked after children outcomes

Improving mental health prevention and resilience

Reducing social isolation



Our values

These values are the six things that matter most to us. These were arrived at following discussions with staff, GPs and members of our Patient and Public Involvement committee.

These core values form the framework for us to guide the work we do including the decisions we make and in the way that we work with each other. There are also designed to fit well with our new clinical strategy.

We know that having an agreed set of values is not enough; it is all too easy for this to be a paper exercise that goes no further than a few posters. We are keen to make these statements mean something to all our teams and people who work with us. So in addition to these core values, our teams will have their own specific statements that are relevant to their own areas of work.

The six things that matter most

1. Being caring and respectful

This means we...

  • Make sure that consideration of the impact on patient care is at the heart of all our decision-making
  • Treat everyone - including colleagues - with courtesy, listening to and respecting everybody's opinion
  • Support colleagues and partners 

2. Having ambition, courage and high standards

This means we...

  • Do things that are going to make a positive difference to local people
  • Are optimistic that as a team - with partners and the public - we can change things
  • Expect ourselves and each other to produce high quality work
  • Are not be afraid to do things differently to improve patient care 

3. Making sure we are open, transparent, honest and straightforward

This means we...

  • Share our mistakes; and are prepared to say ‘sorry’
  • Acknowledge that mistakes happen – and learn from them
  • Give each other honest and straightforward feedback
  • Celebrate and share good practice when things have gone well 

4. Working - with partners and the public – as a team

This means we...

  • Actively involve partners and local people in planning and decision-making - in genuine partnership
  • Ask for people’s views and act on what they tell us
  • Explain how we’ve reached decisions
  • Co-operate fully and enthusiastically with colleagues in other teams to achieve aims
  • Appreciate everybody’s contribution

5. Empowering and energising clinicians, staff and local people

This means we...

  • Encourage and support new ideas
  • Let colleagues and teams get on with projects
  • Embrace and encourage enthusiasm

6. Learning to be the best we can

This means we.....

  • Understand that we can always do better
  • Learn from others about how to do things better
  • Spend time learning new things


Read More

Our Board

Our Board





Primary Care Committee

Primary Care Committee

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