Second wave of CCGs authorised with some facing staff imposition

A second group of 67 CCGs has been authorised by the NHS Commissioning Board (NHSCB), but some that missed key criteria face temporary staff being imposed on them to oversee improvements.

Dame Barbara Hakin: 'The vast majority of these 67 new organisations have demonstrated excellence.'
Dame Barbara Hakin: 'The vast majority of these 67 new organisations have demonstrated excellence.'

The NHSCB announced on Tuesday that it has approved a further 67 CCGs as part of a second wave of authorisation. A first wave of 34 CCGs was authorised in December.

The latest wave brings the total number of CCGs given the green light to 101, and means almost half of all CCGs are now approved.

The NHSCB has been assessing CCGs against a list of 119 criteria, covering everything from managing the handover from PCTs to QIPP (quality, innovation, productivity and prevention) plans. Conditions are placed on CCGs if they do not meet the full criteria.

But 45 CCGs in the second wave were approved with minor 'conditions' - meaning they will have to prove over the coming months that they can meet the remaining criteria they have so far missed.

Three CCGs were authorised with 'legal directions', meaning the NHSCB can send staff to work in the CCG to ensure authorisation criteria are met.

Only 19 out of 67 CCGs in the second wave were authorised with no conditions.

Herts Valleys CCG has the most conditions with 28, including two at 'level four', meaning the NHSCB can send in staff to oversee its working.

Map of CCG authorisation waves

Dame Barbara Hakin, NHSCB national director of commissioning development, said: ‘Almost half of the CCGs are now authorised and we are moving at pace towards a clinically-led NHS that is focused on delivering improved health outcomes, quality, innovation and public participation.

‘The vast majority of these 67 new organisations have demonstrated excellence and a very high level of achievement and are clearly ready for the challenge of leading their local health communities in partnership with the public and with local partner organisations. Many have been commissioning services for one or two years already and are making a significant difference to local health and care services.'

She added: ‘Authorisation is just the beginning: these new organisations will continue to develop, and I am confident patients will start to see real benefits in their local areas as CCGs begin to realise their potential.’

Criteria missed
One criterion not met by Herts Valleys CCG, which has resulted in stricter level four conditions, was the requirement to have quality as a ‘priority’ in governance and decision making where ‘clinical views are foremost’.

Another level four condition was imposed because it could not prove that member practices receive ‘timely information to inform their involvement in CCG planning and monitoring’.

Nene CCG also faced level four conditions, including one because it did not have ‘arrangements in place to manage all contracts that will be transferred from PCTs on or by 31 March 2013, or new contracts from 1 April 2013’.

Medway CCG also faces level four conditions over its financial plans.

The authorisation decision for Coastal West Sussex CCG will be made public in two days. The NHSCB said the delay was because of a ‘technical issue’ it encountered.

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