Croydon CCG & Croydon Local Authority

Croydon is a metropolitan borough within London that covers a population of 365,000.

The right time for change

Croydon has both a growing and ageing population, placing increased pressures on the health and social care system. It was estimated that approximately 31% of Croydon CCG’s current spend relates to the over 65 age group and more specifically to the 74-85 age group which puts the highest cost burden on health services in Croydon. Croydon CCG and Croydon Council had identified elderly services as a priority area and were seeking to develop an outcomes based approach to commissioning these services together.

The solution

The development of the high level outcomes and outcome goals were defined by a process that ensured that the public, the users and providers of the services for the over 65s were the driving force behind their creation. The resulting outcomes framework formed the basis for the service specification to drive improvement in quality and outcomes. Croydon payers were able to shift the emphasis from what services will be provided to also consider what outcomes will be achieved and that matter to older people across Croydon.


  • "Outcomes-based commissioning is now fundamental to our approach and will maximise health gain for the citizens of England and value for money for taxpayers."
    Everybody Counts: Planning for Patients 2014/15 to 2018/19, NHS England