DH reveals blueprint for 212 CCGs to cover England

Details of the areas covered by all 212 proposed clinical commissioning groups (CCGs) in England, as well as their budgets and constituent practices, have been released.

Dame Barbara: ‘There will be some CCGs with some massive unregistered populations, in the big inner cities, and some with virtually none.’
Dame Barbara: ‘There will be some CCGs with some massive unregistered populations, in the big inner cities, and some with virtually none.’

The NHS Commissioning Board (NCB) Authority has published the details, as well as the order in which it expects CCGs to be authorised and rules for naming the groups.

The populations of the proposed CCGs range from 68,000 registered patients (NHS Corby CCG) to 901,000 (NHS North, East, West Devon CCG).

Many CCGs will need to rename themselves, as regulations will state that CCG names must include ‘NHS’, the name of a geographical area and ‘clinical commissioning group’ or ‘CCG’.

The NCB will need to approve final details of the names and geography of all CCGs, but the NCB Authority has begun to make planning assumptions to allow work to progress.

CCGs will be authorised in four waves: 35 in wave 1, 70 in wave 2, 67 in wave 3 and the final 40 in wave 4.

CCGs set for authorisation in wave 1 will need to submit applications by 1 July 2012 and the NCB will make decisions on these in October 2012.

An ‘indicative allowance’ for each CCG has been set out so that emerging groups can make ‘appropriate preparations, ready for April 2013’.

This has been calculated using a £25 per patient per year figure, scaled up by each CCG’s registered population and an estimate of the unregistered population within its boundary.

Speaking to GP ahead of the publication of the documents, the NCB Authority’s commissioning czar said the process of deciding CCG populations had posed challenges.

National director of commissioning development at the NCB Authority, Dame Barbara Hakin said: ‘We started with the practice registered list but then we’ve had to moderate those numbers in order to take account of unregistered populations.

‘There will be some CCGs with some massive unregistered populations, in the big inner cities, and some with virtually none.’

She said the DH had sought to develop an unbiased estimate of unregistered populations.

‘It is difficult,’ she said. ‘The very fact that they are unregistered makes it difficult. Also, some areas appear to have practice lists that are very up to date and some have practice lists which might have a lot of ghost patients on them.’

The NCB Authority said the geographical areas it had defined would be ‘essential in defining their responsibilities for emergency and urgent care and for membership of health and wellbeing boards’.

Details of each CCG's constituent practices are also list on the NCB Authority website.

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