NHS Commissioning Board and CCGs Amendment Regulations 2026
Summary
The UK Secretary of State has amended the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012. These amendments, effective April 1, 2026, update the rates for NHS funded nursing care payable by NHS England or integrated care boards.
What changed
The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2026 amend the existing 2012 Regulations. Specifically, regulation 2 updates the definitions of "flat rate payment" and "high band payment" within regulation 20, increasing the former from £254.06 to £267.68 and the latter from £349.50 to £368.24. These changes are made under the powers conferred by the National Health Service Act 2006 and affect NHS England and integrated care boards.
These amendments are primarily administrative, adjusting payment rates for NHS funded nursing care. Regulated entities, specifically NHS England and integrated care boards, should ensure their systems and financial processes reflect these updated rates by the effective date of April 1, 2026. No significant impact on the private, voluntary, or public sectors is foreseen, and therefore no specific compliance actions beyond updating internal financial parameters are immediately required.
What to do next
- Update internal financial systems to reflect new flat rate and high band payment amounts for NHS funded nursing care.
Source document (simplified)
Status:
This is the original version (as it was originally made). This item of legislation is currently only available in its original format.
Statutory Instruments
2026 No. 207
NATIONAL HEALTH SERVICE, ENGLAND
The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2026
Made
3rd March 2026
Laid before Parliament
4th March 2026
Coming into force
1st April 2026
The Secretary of State makes these Regulations in exercise of the powers conferred by sections 6E (1) and (2) (a) and sections 272 (7) and (8) of the National Health Service Act 2006 (1).
Citation, commencement, extent and application
- These Regulations—
(a) may be cited as the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2026;
(b) come into force on 1st April 2026; and
(c) extend to England and Wales.
Amendment of the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012
- —(1) The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (2) are amended as follows.
(2) In regulation 20, in paragraph (1) (3)—
(a) in the definition of “flat rate payment”, for “£254.06” substitute “£267.68”;
(b) in the definition of “high band payment”, for £349.50” substitute “£368.24”.
Signed by authority of the Secretary of State for Health and Social Care
Stephen Kinnock
Minister of State
Department of Health and Social Care
3rd March 2026
Explanatory Note
(This note is not part of the Regulations)
These Regulations amend the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 S.I. 2012/2996 (“the Standing Rules”). They are made under the National Health Service Act 2006 (c. 41), as amended by the Health and Care Act 2022 (c. 31) (“ the 2022 Act ”), and they amend the requirements, or “the Standing Rules”, imposed on NHS England and integrated care boards. On 1st July 2022, the NHS Commissioning Board was renamed NHS England and integrated care boards became the successors of clinical commissioning groups, in accordance with the 2022 Act.
Regulation 2 amends regulation 20 of the Standing Rules to increase the rates for NHS funded nursing care payable by NHS England or an integrated care board.
A full impact assessment has not been prepared for this instrument as no, or no significant, impact on the private, voluntary or public sector is foreseen.
(1) 2006 c. 41. Section 6E was inserted by section 20 (1) of the Health and Social Care Act 2012 (c. 7). Section 6E(1) was amended by section 78 (2) (a) of the Health and Care Act 2022 (c. 31). Sections 6E(1) and (2)(a) were amended by the Health and Care Act 2022 (c. 31), Schedule 1, paragraph 1(1) and Schedule 4, paragraph 89(3).
(2) S.I. 2012/2996 (“the Standing Rules”) relevant amending instruments are S.I. 2013/261, 2014/1611, 2022/634, 2023/1071, 2024/302 and 2025/245. Under section 1 of the Health and Care Act 2022 (c. 31), the NHS Commissioning Board was renamed NHS England. On 1st July 2022, in accordance with Chapter A3 of Part 2 of the National Health Service Act 2006 (c. 41) (as inserted by section 19 of the Health and Care Act 2022) and S.I. 2022/632, NHS England established integrated care boards to take on the commissioning functions of clinical commissioning groups. As a consequence of those changes, paragraph 1 (1) of the Schedule to S.I. 2022/634 substitutes references to “clinical commissioning groups” with “integrated care board” in the Standing Rules. Paragraph 1 of the Schedule to S.I. 2023/1071 substitutes references to the “ NHS Commissioning Board ” with “NHS England” in the Standing Rules. There are other amending instruments but none is relevant.
(3) Relevant amendments to regulation 20 were made by S.I. 2014/1611, 2024/302 and 2025/245.
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