Information and guidance

Page last updated: 21 January 2021

Please continue to visit the government’s official website and NHS England’s official website for the most up-to-date national guidance.

We will continue to update this page with a range of guidance and useful information to support CCGs on the following issues:

Daily updates and legislation

  • The NHS Confederation has collated a list of information and guidance on a range of issues in one place.
  • The Exercise of Commissioning Functions: Directions given to NHS England to commission healthcare from independent sector providers to address the coronavirus (COVID-19) emergency. This power will be in place until 31 March 2021 (21 Dec).
  • Daily updates: The NHS Confederation is providing daily updates on coronavirus, including summaries of the government’s daily press conference and any significant announcements and activity affecting the health and care sector.
  • Legislation: The NHS Confederation has assessed the COVID-19 Bill.


COVID-19 vaccination programme

  • List of hospital hubs and local vaccination services: NHSEI has published a list of hospital hubs and local vaccination services in England as of 10 January 2020.
  • National protocol for COVID-19 mRNA vaccination: Public Health England has published the national protocol for the administration of COVID-19 mRNA Vaccine BNT162b2 (Pfizer/BioNTech) by appropriately trained persons (18 Dec).
  • Priority groups for coronavirus (COVID-19) vaccination: advice from the JCVI: The Joint Committee on Vaccines and Immunisations advises that the first priorities for any COVID-19 vaccination
    programme should be the prevention of COVID-19 mortality and the protection of health and social care staff and systems (2 Dec).
  • Urgent preparing for general practice to contribute to a potential COVID-19 vaccination programme: A letter from NHSEI natiional primary care leads and Indicative Enhanced Service Specification for a potential COVID-19 vaccination programme (10 Nov).





Letters to CCGs and systems


  • Improving discharge patient flow from acute settings: A letter from Matthew Winn, Director of Community Health at NHSEI, setting out three schemes that systems can immediately implement for discharging people home from hospital. (20 January 2021)
  • Phase three guidance: NHS England and NHS Improvement have written to NHS leaders outlining the third phase of NHS response to COVID-19. (31 July)
  • Updated guidance on shielding and protecting people defined on medical grounds as extremely vulnerable. Following the relaxing of social distancing measures from 4 July, Public Health England published updated guidance for adults and young people who are extremely clinically vulnerable to COVID-19 (6 July). There is a further update to this guidance, published on 31 July.
  • Updated advice on patients who are shielded. NHS England and NHS Improvement wrote to trust medical directors, chief nursing officers, GPs, CCG accountable officers and ICS and STP leads with an update to the guidance for people who are shielding (4 June).
  • Guidance on minimising nosocomial infections. NHS England and NHS Improvement have written a letter to healthcare providers to help to clarify the steps that should be taken to minimise nosocomial infections, protect staff and ensure the timely reporting and management of outbreaks and staff absence in the NHS. The letter includes an update on the test and trace system. (9 June)
  • Operating framework for urgent and planned services in hospital settings during COVID-19. NHS England and NHS Improvement has set out a series of measures to help local hospitals plan to increase routine operations and treatment, while keeping the necessary capacity and capability to treat future coronavirus patients. (14 May)
  • Notification of return to Incident Level 4: NHS England and NHS Improvement has written to NHS leaders to outline what the return to Incident Level 4 means for commissioning and provision of services. As of 5 November 2020, the NHS will move from a regionally managed but nationally supported incident under Level 3, returning for the time being to one that is co-ordinated nationally (4 Nov).
  • Letter to CCGs on care homes: NHS England and NHS Improvement has written to GP practices and primary care networks, chief executives of community health providers, regional directors of primary care and CCG accountable officers, giving guidance on COVID-19 care home support (1 May).
  • Letter to CCGs on the second phase of NHS response: NHS England and NHS Improvement has written a letter to NHS trusts and foundation trusts, CCGs, GP practices and primary care networks, community health services providers and NHS 11 providers on the second phase of NHS response to COVID-19 (29 April).


End of life care (including DNACPRs)

  • Prof Stephen Powis and Ruth May have written to health leaders, including CCGs and primary care, to remind them of discussions staff should have with patients about their treatment preferences should they develop COVID-19 (7 April).




Lay members and governance






Mental health









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