The NHS is full of jargon and confusing terms! Here are some words you may see a lot on our website and in our documents. To add a word to the glossary, please e-mail us. You may also find our 'acronyms explained' page useful as well...

Haringey Clinical Commissioning Group (CCG)

Haringey CCG is an NHS organisation that commissions (plans and buys) healthcare services for the residents of Haringey. CCGs were established under the government’s Health and Social Care Act 2012 and replaced Primary Care Trusts (PCTs). Haringey CCG is made up of all the GP practices in Haringey and is led by a Governing Body.

Go to our About Us section to find out more.



Commissioning in the NHS is the process of ensuring that the health and care services provided effectively meet the needs of the population. It is a cycle of work from understanding the needs of a population and identifying gaps or weaknesses in current provision, to procurimg services to meet those needs.


Commissioning intentions

Commissioning intentions are developed every year. They describe the changes and improvements to healthcare that the CCG wants to make for the year ahead and what we expect to commission (or ‘buy’) to achieve these changes. The CCG’s commissioning intentions are shared widely with providers and stakeholders and are then developed into a commissioning strategy plan for the year ahead.


Commissioning Support Unit (CSU)

The Commissioning Support Unit (CSU) is an organisation which provides services to CCGs. CCGs can decide on the services they wish to obtain through CSUs e.g. commissioning, IT services, information analysis. The CSU providing services to Haringey CCG is NEL CSU.



The process of specifying and buying (or leasing) goods or services, evaluating bids, and negotiating contracts with providers.


Providers/Service Providers

We use the term provider or service provider to include anyone who is commissioned to supply a health or care-based service.  For example, GPs are primary care providers. Social care providers include social workers and home support workers. Hospitals like North Middlesex and Whittington Health are also providers.


Health and Wellbeing Board (HWB)

The Health and Social Care Act 2012 established Health and Wellbeing Boards as forums where leaders from the NHS and local government can work together to improve the health and wellbeing of their local population and reduce health inequalities. 

Haringey’s Health and Wellbeing Board includes elected members of Haringey Council, the Haringey Directors of Public Health, Adult and Housing Services, Children’s and Young People Services, members of Haringey CCG and a representative of Healthwatch Haringey.

Board members work together to understand Haringey’s health and social care needs, agree priorities and help to ensure that the Council and the CCG plan and buy services in a more joined up way.

The Board is responsible for carrying out the Joint Strategic Needs Assessment (JSNA) and developing a joint strategy (the Health and Wellbeing Strategy) for how these needs can be best addressed.

Find out more about Haringey's Health and Wellbeing Board.


Joint Strategic Needs Assessment (JSNA)

A JSNA describes the future health, care and wellbeing needs of local populations and the strategic direction of service delivery to meet those needs. JSNAs are developed jointly between the Council and the CCG – providing a framework for health and social care to work in partnership to identify the needs of the population they serve and to work together in commissioning services to meet those needs. The JSNA is a key part of the commissioning cycle and informs the CCG’s commissioning intentions.

Find out more about Haringey's JSNA.


Health and Wellbeing Strategy

Haringey's Health and Wellbeing Strategy 2015-18 has been developed by our Health and Wellbeing Board (HWB).  It is our overarching plan to improve the health and wellbeing of children and adults in Haringey and to reduce health inequalities between the east and west of the borough. Our Health and Wellbeing Strategy sets out our vision for ensuring that 'all children, young people and adults live healthy, fulfilling and long lives' and is informed by our Joint Strategic Needs Assessment (JSNA).


Healthwatch Haringey

Healthwatch Haringey is a new organisation, established by the Health and Social Care Act 2012. Healthwatch Haringey is the new independent consumer champion for people who use health and social care services in Haringey. It will ensure local people’s views are heard in order to improve the experience and outcomes for people who use them.

You can tell Healthwatch what you think about Haringey’s health and social care services. Healthwatch can also give you advice and information about local health services. To contact Healthwatch Haringey: Call: 020 8888 0579 or e-mail or visit their website:  


GP Collaboratives

All the GP practices in Haringey work together in four groups called Collaboratives, covering the four areas of west Haringey, central Haringey, north-east Haringey and south-east Haringey. Collaboratives bring together the GPs in each area to co-ordinate their work and develop new ways of meeting the needs of the patients in their area.


Health inequalities

Health inequalities can be defined as unfair differences in health status or in the distribution of health determinants between different population groups. For example, differences in mortality rates between people from different social classes. In Haringey, there are big health inequalities that exist between people who live in the east of the borough and those who live in the west. General health and life expectancy is worse in the east than the west and these are priority issues for the Health and Wellbeing Board.


Care pathway/patient pathway

A care pathway (also sometimes called a patient pathway) is a diagram, drawn by healthcare professionals, of a patient's journey through care for a particular health condition.  The pathway is developed so that, at each stage, the patient is getting the appropriate care. If that care does not work, the patient will continue on the care pathway to the next stage. Care pathways are designed to get the patient to the appropriate care smoothly.


Primary care

Primary care is the services provided by GP practices, dental practices, community pharmacies and high street optometrists. Around 90 per cent of people's contact with the NHS is with these services. Most primary care services are commissioned by NHS England, not the CCG.  However, from 1 October 2015, the five CCGs in north central London (Barnet, Enfield, Camden, Haringey and Islington) took on formal joint commissioning responsibilities for GP services in partnership with NHS England.


Secondary care

Secondary care is the services provided by medical specialists, quite often at a community health centre or a main hospital.  These services are provided by specialists following a referral from a GP, for example, cardiologists, urologists and dermatologists.


Acute services

Medical and surgical treatment provided mainly in hospitals.


Planned care

Planned care means services where you have a pre-arranged appointment. This includes things like being referred by your GP to see a physiotherapist or consultant or being sent for diagnostic tests such as an X-Ray.


Long term condition

We define a long term condition as something that can’t be cured at the moment, but can be controlled by medication and/or other therapies, including self-care and changes to life-style. This definition covers lots of different conditions including diabetes, asthma and multiple sclerosis.


Patient Participation Group (PPG)

A PPG is a group of patients who are interested in health and healthcare issues, and who want to get involved with and support the running of their local GP practice. Most Patient Participation Groups (PPGs) also include members of practice staff, and meet at regular intervals to decide ways and means of making a positive contribution to the services and facilities offered by the practice to its patients. We would like all our GP practices to have a PPG and are currently helping them to achieve this.


Haringey CCG Network

The CCG Network is one of the ways in which the CCG involves patients and the public in Haringey, in accordance with its Engagement Strategy. The purpose of the Network is to support a group of patients and the public to:

  • Learn about health and health issues in Haringey
  • Contribute to the CCG’s priorities, decision making, and quality improvements
  • Act as ‘messengers’ to and from their groups and communities

You can read more about the Network here.



Key Performance Indicators. These are set out in contracts with our providers and help us to monitor their performance. Examples of KPIs include length of stay in hospital for a particular treatment or how satisfied patients are with the care they receive. 


NICE guidance

NICE stands for National Institute for Health and Care Excellence. NICE sets standards for quality healthcare and produces guidance on medicines, treaments and procedures. Visit their website for more information:



CQUIN stands for Commissining for Quality and Innovation. CQUIN is a payment framework which allows commissioners like Haringey CCG to link a proportion of providers' income to the achievement of locally agreed quality improvement goals. Find out more here.


Last updated: 02/06/2017