CCG role in GP performance management could grow, says NHS official

NHS England could consider handing CCGs more responsibilities over individual performance of GPs, a senior official has revealed.

Dr David Geddes: CCG role in GP performance management (Photo: Nathan Clarke)
Dr David Geddes: CCG role in GP performance management (Photo: Nathan Clarke)

NHS England head of primary care commissioning Dr David Geddes suggested that while CCGs are not expected to be handed control of the GP national performers’ list ‘any time soon’, officials are considering how clinical commissioners can support individual performance management.

NHS England retained its powers over revalidation, the performers list and performance management when it handed control of primary care commissioning to CCGs who wanted it in April 2015. That was welcomed by GP leaders who feared management of individual GPs by CCGs could create conflicts of interest. Co-commissioning CCGs do, however, control performance management of GP contracts and have influence over management of performers.

GP performers list

Speaking at the Commissioning 2015 conference in east London on Wednesday, Dr Geddes said while ‘it isn't anticipated’ that control of the performers list would be ‘moved over to CCGs at the moment’, there were ‘discussions still to be be had’ about balancing performance management and revalidation.

Dr Geddes added: ‘It is really important that CCGs do see their role in looking at performance in quality of primary care  - which is on one hand, the quality of practice, but on the other hand support for the quality of individual performers. So there is more work to be done on what that means and how we can start picking that up. Those are discussions we are having with, for example, the CQC.’

CCGs’ role in performance management was, said Dr Geddes, ‘implicit’ in a lot of what is already done. But, he added, ‘I don't think we will necessarily be expecting the management of and control of the performers list to shift to CCGs any time soon.’

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