CCGs delivering on prevention and early diagnosis

NHS Clinical Commissioners has published Delivering a healthier future: How CCGs are leading the way on prevention and early diagnosis.

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The report showcases a range of innovative case studies from across the country, which demonstrate the difference that clinically led commissioning is making.  The projects focus on prevention and early diagnosis.


Commissioning for Value – comprehensive data packs to support CCGs and NHS England in the regions

NHS England is committed to giving CCGs and NHS England in the regions practical support in gathering data, evidence and tools to help them transform the way care is delivered for their patients and populations.

NHS Right Care now sits within NHS England, and working with Public Health Englandwe are providing a suite of materials to support effective ‘commissioning for value’. This includes a range of comprehensive data packs and online tools.

The information in the packs will be of particular interest to CCG clinical and management leads with responsibility for finance, performance, improvement and health outcomes; to NHS England regional team leads; and to commissioning support teams who are helping CCGs with this work. A range of additional free support to accompany the data is set out within each pack.

Rotherham CCG Data Pack:

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View other packs via NHS England

Children and young people’s continuing care national framework

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This guidance is for clinical commissioning groups when assessing the needs of children and young people (0 to 17 years) whose complex needs cannot be met by universal or specialist health services.

The ‘Decision support tool’, which should be used with the framework, provides a structure to help in reaching a decision.

The guide for young people and parents is for use by local health organisations who can add their own contact details.

A network has also been established on NHS Networks for anyone working in this field, to share information, good practice, or seek advice on difficult issues from colleagues. Once you have registered, request to join on the children and young people’s continuing care network page (click on ‘join this network’ when on the page).

The updated framework follows a public consultation. Comments and suggestions received in the consultation are reflected in the new framework.

Read the full guidance via Department of Health

CCG to change constitution to prevent ‘legal challenge’

HSJ 22 January, 2016 BY Will Hazell

  • Bristol CCG constitution currently says it will bar companies from procurements if they are based offshore or engage in “improper tax avoidance”
  • Solicitors tell CCG that if a company’s arrangements are lawful, excluding them on this basis would be “contrary to procurement law”
  • Commissioners to seek public feedback on new wording before putting it to GP membership vote

Read the full article via HSJ

Complexity in the new NHS: longitudinal case studies of CCGs in England

Checkland, K. et al. BMJ Open 2016;6:e010199

Objective: The reform in the English National Health Services (NHS) under the Health and Social Care Act 2012 is unlike previous NHS reorganisations. The establishment of clinical commissioning groups (CCGs) was intended to be ‘bottom up’ with no central blueprint. This paper sets out to offer evidence about how this process has played out in practice and examines the implications of the complexity and variation which emerged.

Design: Detailed case studies in CCGs across England, using interviews, observation and documentary analysis. Using realist framework, we unpacked the complexity of CCG structures.

Setting/participants: In phase 1 of the study ( January 2011 to September 2012), we conducted 96 interviews, 439 h of observation in a wide variety of meetings, 2 online surveys and 38 follow-up telephone interviews. In phase 2 (April 2013 to March 2015), we conducted 42 interviews with general practitioners (GPs) and managers and observation of 48 different types of meetings.

Results: Our study has highlighted the complexity inherent in CCGs, arising out of the relatively permissive environment in which they developed. Not only are they very different from one another in size, but also in structure, functions between different bodies and the roles played by GPs.

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Conclusions: The complexity and lack of uniformity of CCGs is important as it makes it difficult for those who must engage with CCGs to know who to approach at what level. This is of increasing importance as CCGs are moving towards greater integration across health and social care. Our study also suggests that there is little consensus as to what being a ‘membership’ organisation means and how it should operate. The lack of uniformity in CCG structure and lack of clarity over the meaning of ‘membership’ raises questions over accountability, which becomes of greater importance as CCG is taking over responsibility for primary care co-commissioning.

Read the full article via BMJ Open

NHS Clinical Commissioners say CQC fees increase will be detrimental to patients

Latest Health News

ccg.png Image source: NHSCC

NHSCC has criticised the Care Quality Commission’s (CQC) proposals to substantially increase its fees for regulating general practice services, stating that this would be detrimental to services being provided for patients.

Responding to the regulator’s consultation on the fees increases, NHSCC raises concerns about the disproportionate financial burden this will place on general practice at a time when its members are looking to invest further in primary care in line with the Five Year Forward View. The NHSCC response also highlights and shares the concerns expressed by the Public Accounts Committee that the CQC has not yet demonstrated its value in driving quality improvement through regulating general practice in the way that it currently does.

NHSCC co-chair, and Chief Clinical Officer of NHS Blackpool CCG, Dr Amanda Doyle said:

“We are extremely concerned about the impact that the proposed CQC fee increases will have on the…

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GP groups cover most of England but ‘lack ambition and priorities’

  • Large scale GP provider groups operating in 82 per cent of England’s CCG areas
  • There are 268 federations up and running, HSJ research suggests
  • It is estimated that these organisations cover 41 million patients

Despite the wide coverage of groups identified by HSJ, the analysis suggests there is large variation in the functions they carry out.

Information on functions was provided for 110 GP groups and no single function was shared across more than half. The most common, listed for 55 groups, was providing extended primary care, for example long term conditions treatment, urgent care or services for the frail elderly. Many CCGs provided no information on the functions of the GP groups in their area.

The graph below shows the most commonly identified functions.

Image source: HSJ

Read the full article via HSJ//Commissioning