Dr Michael Dixon - CCGs a force for good in first 100 days

New governments and institutions are often allowed a honeymoon period. Not so for CCGs and their leaders.

CCGs have joined a party that too often appears to have started without them. They are bound by rules that would constrain their ability to commission, for example, section 75 and the right of hospitals to impose Payment by Results.

CCG budgets are being raided mercilessly by others, such as specialist commissioners and NHS PropCo, and many already see them as fall guys for the most severe financial challenges the NHS has ever witnessed.

That describes the negative, but the positive is far stronger. Already, it is clear the new clinical leaders of CCGs are strong, committed and clever. They will not be deterred by the skewed rules, vested interests and inertia of the system they inherited.

Clinical commissioning may be only just over 100 days old, but clinical commissioners are men and women with a mission who will not be messed around. Collectively, they want to challenge a system that has relentlessly removed resources from health into care and from primary care into secondary care. Many are already able to celebrate outstanding achievements.

I would advise hospital trusts or national bodies that think they can queen it over the new clinical commissioners to think again. We now have a new set of strong clinical leaders who will square up to any organisation or vested interest that threatens the sovereignty of those commissioners, or the health, wellbeing and services of their patients.

Clinical commissioners are determined to make a difference; they are well connected to frontline clinicians and patients, and carry an authority and strength the NHS has not seen before.

They will not be stopped - they are frontline clinicians, there to make a difference. The commitment to social responsibility and improving local health will rapidly become the agenda of all frontline clinicians and patients and, in time, create change the NHS has awaited for so many years.

Dr Dixon is interim president of NHS Clinical Commissioners and chairman of NHS Alliance. Read more from him on Inside Commissioning at www.insidecommissioning.com.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published

Clinical Update Podcast

Save time and be greener with the Clinical Update podcast

The first episode of the new Clinical Update podcast from MIMS Learning tells you...

Home Office building

BMA calls on Home Office to address IMG visa problems by summer

The BMA has called on the Home Office to put in place a solution to the visa problems...

Talking General Practice: Should assisted dying be legalised?

Special podcast: Should assisted dying be legalised?

This year the Scottish parliament will debate a bill that could legalise assisted...

COVID-19 vaccination

Vaccination halves risk of developing long COVID, study finds

COVID-19 vaccinations halve the risk of a person developing long COVID, according...

Junior doctors on strike earlier this month

Junior doctors to stage four-day walkout in April

Junior doctors in England will strike for an unprecedented 96 hours from 6:59am on...

Health and social care secretary Steve Barclay

Private provider takes over at-risk practice in health secretary's constituency

A GP practice in health and social care secretary Steve Barclay's constituency has...