CCGs that fail authorisation could be run by neighbouring groups

Clinical commissioning groups (CCGs) that fail authorisation could be run by neighbouring groups, the NHS Commissiong Board has said.

The final authorisation decisions for the 35 CCGs in the first wave of authorisation are due to be made by the NHS Commissioning Board (NHSCB) on 5 December. England’s 211 CCGs are due to take responsibility for commissioning once PCTs are abolished next April.

There are three authorisation outcomes for CCGs. The first is 'authorised', the second is 'authorised with conditions' and the third is 'established but not authorised'.

Shadow CCGs which are 'established but not authorised' will have the same legal status as CCGs authorised with conditions and are still statutory bodies. But they would not able to carry out their statutory duties.

In this case, the NHSCB could carry out the CCGs’ duties but the NHSCB said it will only do this if local arrangements could not be made with neighbouring CCGs.

The NHSCB’s head of authorisation Dr Sarah Pinto-Duschinsky said: ‘The authorisation process for CCGs has three possible outcomes. A CCG can be authorised outright, authorised with conditions or established but not authorised.

'In the event that a CCG is established but not authorised and exists in shadow form, then the NHSCB will consider whether its functions can be provided by neighbouring CCGs or whether a support package from the local Commissioning Support Unit can be put in place before the board directly steps in to handle local commissioning functions.’

The authorisation process includes an authorisation application and a site visit. The NHSCB’s authorisation panel discusses the feedback from the site visit and submits its recommendations for authorisation against 119 criteria.

The authorisation panel then submits its recommendation to a conditions panel to consider what support is required where a CCG has not supplied sufficient evidence to meet a threshold for one or more authorisation criteria. The panel makes a report and the CCG has a fortnight to comment, including providing any new evidence that obviates the need for a specific condition. A sub-committee then makes the final authorisation decisions.

 

Key dates in the authorisation process

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

GP time per patient slumps to lowest level in half a decade

GP time per patient slumps to lowest level in half a decade

GP time available per patient has dropped by six and a half minutes since 2015 -...

An uncompromising defender of the NHS: colleagues remember Dr Ron Singer

An uncompromising defender of the NHS: colleagues remember Dr Ron Singer

Colleagues and friends have paid tribute after the death of East London GP Dr Ron...

COVID-19 death rate highest among BAME groups, delayed PHE review confirms

COVID-19 death rate highest among BAME groups, delayed PHE review confirms

Death rates from COVID-19 are highest among patients from BAME groups, according...

GPs face hundreds of complaints over shielding and PPE during pandemic

GPs face hundreds of complaints over shielding and PPE during pandemic

GP practices have faced hundreds of complaints over issues including shielding and...

More than 3,600 GP partners lost in four years as decline accelerates

More than 3,600 GP partners lost in four years as decline accelerates

The number of full-time equivalent (FTE) GP partners in England fell by 3,636 between...

COVID-19 pandemic leaves 2.4m patients stuck in cancer care backlog

COVID-19 pandemic leaves 2.4m patients stuck in cancer care backlog

Around 2.4m patients are waiting longer for cancer tests or treatment because of...