Clinical Commissioning Groups (CCGs) are clinically led membership groups of GP practices.
In order to shift decision-making as close as possible to patients, power and responsibility for commissioning services has been devolved to local groups of clinicians.
There is now a comprehensive system of Clinical Commissioning Groups, supported by and accountable to a NHS England. These groups took over responsibility for commissioning many health services from Primary Care Trusts (PCTs).
Your local GP practices have joined other health professionals in the North and West Reading Clinical Commissioning Group, who are responsible for "commissioning" -- planning, designing and paying for your NHS services. This includes planned and emergency hospital care, rehabilitation, most community services and mental health and learning disability services.
GPs and other clinicians are also responsible for engaging with local people to ensure that the services they are paying for meet your needs.
NHS England oversees the performance of Clinical Commissioning Groups, as well as commissioning GP services, pharmacy, opticians and dentists, and other specialised services.
A consumer body called HealthWatch Reading , exists to promote public engagement in the NHS, comment on changes to local services, act as advocates for complaints, and deliver advice across health and social care.