NHS Southampton City CCG - who we are and what we do

Our purpose as a Clinical Commissioning Group (CCG) is to meet the health and care needs of our population. We are allocated a budget to achieve this and must use it to plan and pay for (or ‘commission’) health and care services from a number of service providers (such as hospital, mental health and community trusts and GPs). We are responsible for making sure that local people get the high quality health services they need.

A nurse and patient talking in the patient's garden.

We were established on 1 April 2013 with a clear focus on ensuring family doctors and other clinical professionals play a leading role in deciding and directing how our local NHS resources should be used. With around 90% of local interaction with the NHS taking place in GP practices, this move was intended to shift the decision-making for health services as close as possible to patients.

A large part of our work involves working closely with the local authority, NHS England and other health and care partners to ensure the right services are in place for our community. We also make sure we listen to local people so we can act upon the views and needs of patients, carers and the public.

Our organisation

We have:

  • 27 member GP practices
  • a budget of £401 million for 2019/20 covering services at acute hospitals, community services, GP services and prescribing
  • the same boundaries as Southampton City Council, covering an area of some 28 square miles
  • 122 staff who are responsible for supporting the planning and buying of local healthcare, including our Integrated Commissioning Unit which commissions jointly with Southampton City Council.

Our population

  • 286,971 people are registered with GP practices in the city (March 2018).
  • 20% of the city’s population are aged between 15 and 24, which is significantly higher than the national average of 13% (2011 Census).
  • The population is growing rapidly. Southampton is experiencing above national average population with this trend forecast to continue.
  • Around 86,000 people in Southampton, 31% of the population, have an ongoing health condition (such as diabetes, heart disease, epilepsy, breathing problems etc.). Over half of these people have two or more conditions for which they need ongoing support.
  • Deprivation is higher than average and around a quarter of the city’s children live in poverty.
  • 62% of the city’s adults are overweight or obese.
  • 22.3% of residents are from an ethnic group other than White British compared to 20.2% nationally (2011 Census).
  • 7.5% of adults have a long term mental health condition
  • 43% more suicides than the England average
  • 88% more self harm admissions than the England average
  • 68% of women aged 50-70 screened for breast cancer in the last three years (73% national)
  • 54% of people aged 60-69 screened for bowel cancer in the last 2.5 years (57% national)
  • 47% of cancers diagnosed at Stage I or II (51% national)
  • 22% of children in Year 6 are obese (20% national)
  • 18% more mental health admissions than the England average
  • 69% more teenage pregnancies than the England average
  • 99% more looked after children than the England average
  • 78% more 16-17yr olds not in education, employment or training than the England average

Compared to 2018, it is estimated Southampton could have in 2023:

  • 12,300 more residents, 
  • 2,730 more children and young people, 
  • 4,530 more residents aged 18-64, 
  • 5,030 more residents aged 65+
  • 1,100 more people with diabetes
  • 640 more people with COPD
  • 2,800 more people with hypertension
  • 1,500 more people with five or more chronic conditions
  • 600 more people needing help with five or more activities of daily living (e.g. bathing, using the stairs, using the toilet etc)

Understanding health inequalities in Southampton

NHS England defines health inequalities as:

Health inequalities are the preventable, unfair and unjust differences in health status between groups, populations or individuals that arise from the unequal distribution of social, environmental and economic conditions within societies, which determine the risk of people getting ill, their ability to prevent sickness, or opportunities to take action and access treatment when ill health occurs.

In Southampton, we can map differences in deprivation using national data, and break this information down by neighbourhood.  These neighbourhoods are technically known as lower super output areas (LSOAs).

The map below shows the Index of Multiple Deprivation 2015 in Southampton. Broadly, areas which are a darker colour of red are the most deprived, based on national data.  Areas which are a darker colour of blue are the most affluent.

We then map healthcare statistics, such as the usage of our Emergency Department in the city, against this data.  You can see more of this data in this document: Mapping healthcare data for Southampton.

Map of deprivation in Southampton