CCGs need practice backing to make difficult decisions

Clinical commissioning groups (CCGs) will need the backing of the majority of their practices to make difficult decisions if they are going to transform the health of their populations, according to a former DH commissioning lead.

Gary Belfield: 'Actions that CCGs could begin to maximise chance of turning agreements  into effective practice membership.'
Gary Belfield: 'Actions that CCGs could begin to maximise chance of turning agreements into effective practice membership.'

Writing exclusively for GPonline.com’s Inside Commissioning blog Gary Belfield, associate partner in KPMG Management Consulting’s healthcare advisory team and former DH acting director general of commissioning and system management, looks at how CCGs can turn their written agreements into meaningful practice membership.

He warns: ‘There are still elements of tokenism in some of the agreements that have been created. For the good of the patient, the sooner those involved agree meaningful contributions, the better.

‘Agreements should also be tested with members against a set of challenging scenarios – ‘what would we do if’ – to minimise the risk of later misunderstandings.’

He continues: 'CCGs that jump straight to the solution, without getting the practices on board with the issues, will risk the ‘fair weather friendships’ problem of unravelling agreements simply because people do not feel engaged.’

* Read Mr Belfield’s full blog for Inside Commissioning

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