Failing CCGs could be 'disbanded' as 26 declared inadequate under new ratings regime

Twenty six CCGs have been declared 'inadequate' by a new Ofsted-style ratings regime for the GP-led commissioning bodies.

NHS England chief executive Simon Stevens (Photo: Alex Deverill)
NHS England chief executive Simon Stevens (Photo: Alex Deverill)

Nine CCGs have been placed into special measures by NHS England following the assessment of how commissioners have been discharging their responsibilities.

Ten CCGs were rated ‘outstanding’, 82 ‘good’ and 91 found to ‘require improvement’.

For 2015/16 CCGs were rated according to five domains: well led organisation, delegated functions - including primary care commissioning where relevant, finance, performance and planning. CCGs are rated for each domain.

NHS England said it would take action with each of the 26 CCG rated inadequate.

NHS funding

The move was announced as part of a package of measures to ‘reset’ and stabilise NHS finances.

Inadequate CCGs will be required to implement an improvement plan under legal directions from NHS England. CCGs could be required to cease performing particular functions, or have their accountable officer replaced.

Other measures could include adjusting a CCG’s area and membership practices, disbanding the CCG, requiring groups to share management, or the creation of an accountable care organisation to take on responsibility for the local population’s healthcare.

Meanwhile, new controls will cap the cost of interim CCG and CSU managers.

CCGs newly put into special measures include: 

  • Coventry and Rugby
  • Croydon
  • East Surrey
  • Enfield
  • North Somerset
  • North Tyneside
  • South Gloucestershire
  • Vale of York
  • Walsall

Sustainability funds

From 2016/17 a more comprehensive ratings system will be introduced with 60 indicators including six clinical priorities: cancer, dementia, diabetes, learning disabilities, maternity and mental health.

NHS Improvement, NHS England, supported by DH and CQC also announced allocation details for £1.8bn of sustainability and transformation funding to cut provider deficits, new performance improvement incentives to replace fines and new financial controls for trusts and CCGs.

NHS England chief executive Simon Stevens said: ‘Precisely because the pressures across the NHS are real and growing, we need to use this year both to stabilise finances and kick-start the wider changes everyone can see are needed. Most trusts and CCGs know what needs to get done to release funds for local reinvestment in better patient care and now is clearly the time to fire the starting gun.

‘Today's "reset" sets out the agreed legal responsibilities of individual NHS bodies to live within the funding parliament has decided should be available to the NHS this year. These individual accountabilities will be supplemented by the sustainability and transformation plans now being developed in communities across England, which will set out the wider, shared action they will take together to unleash broader improvement on health, care, and financial sustainability to 2020.’

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