Our role as a strategic commissioner is to mobilise the local resources of the NHS to deliver better health outcomes for local people. Our vision is for a healthier place with healthier people and healthier futures.

We are driven by the need to deliver two key outcomes:

  • Across the Black Country and West Birmingham we know that there are too many health inequalities. Health inequalities are unfair and avoidable differences in health across the population, and between different groups within society. Health inequalities arise because of the conditions in which we are born, grow, live, work and age. These conditions influence our opportunities for good health, and how we think, feel and act, and this shapes our mental health, physical health and wellbeing. Eliminating Health inequalities in our local population is a key outcome for us. 
  • Sadly, COVID-19 has increased the heath inequalities that local people and communities face. This is both directly in terms of COVID-19 rates and deaths being higher among our more deprived and our Black, Asian and Minority Ethnic communities, and indirectly in the wider economic impact of COVID-19 also hitting these communities harder. Long after our critical care demands reduce, the NHS and partners will work together to tackle the long term impact of COVID-19 on people’s health and wellbeing. Addressing the impact and legacy from COVID-19 on our population, our staff and our services is a key outcome for us. 

Our Strategic Priorities are:

  • Prioritising the integration of primary, community and preventative care through the development of integrated care partnerships/providers in each of our five places
  • Using population health management to target intervention where it is needed most.

We shall ensure that in delivering our vision we focus our service design on the following principles:

  • Digitising care: We will place a necessary focus on digital and innovative solutions to health delivery. From streamlining access to essential medical records to investing in digital remote monitoring, our role in the CCG is to create the capacity for change in this area to improve outcomes for those we serve and those working in the system. We are also committed to growing capacity and capability across our communities, to reduce the digital inequality gap and support people to use new technology.
  • Integrating health and care services: Removing organisational boundaries to bring care together around the needs of an individual is a key delivery focus for us. We will commission services for outcomes rather than contacts and we will group our providers round the mutual populations which they serve, ensuring that we incentivise those within our health and care system to work together for population health need.
  • Working in partnership: We will work in partnership with other statutory bodies, community and voluntary sector organisations, people and communities to ensure we meet local need.
  • Preventing ill health: Shifting from an ill health service to one which supports people to adopt improved healthy behaviours is a key delivery focus for us. This will both help people to live longer, healthier lives, and reduce the demand for and delays in treatment and care.
  • Personalising care: We know that people will have better experiences and improved health and wellbeing if they can actively shape their care and support. Shifting from what is the matter with you, to what matters to you, and giving people choice and control over their own health outcomes, is a key delivery focus for us. 

Each year we work with people and communities to set our priority areas. These can be found in our commissioning strategy, which is usually published in June each year.

We have set the following areas for priority based on population health data:


  • Cancer: We will increase screening rates and reduce the number of people presenting late with cancer diagnosis
  • Circulatory disorders: We will improve outcomes for people living with circulatory disorders
  • Respiratory conditions: We will improve outcomes, value and quality for people living with respiratory conditions
  • Children and young people: We will develop new care models to support early years development
  • Mental Health: We will address the inequality in life expectancy that exists for those living with a mental health condition
  • Elective care: We will restore elective care to pre- COVID-19 levels.