GP commissioning remit to mirror PCT role

GP commissioners should not be expected to handle any services beyond those that PCTs have managed, DH recommendations have revealed.

DH: list of services CCGs will commission has been published

Official advice on which services should be managed nationally across England includes ‘virtually all’ those services that have been outside the remit of PCTs.

These services will be commissioned by the NHS Commissioning Board. The remit of clinical commissioning groups (CCGs) will therefore mirror that of PCTs in terms of the services they are expected to manage.

The final list will be agreed by ministers in the autumn, the DH has said.

The group that drew up the list of services said it included ‘virtually all those services that have been commissioned through specialised commissioning groups’.

The advisers warned of the potential risks of creating commissioning 'boundaries' when patient pathways stretched across CCG and NHS Commissioning Board responsibilities. Commissioners would need to work together to avoid such risks, they said.

The Clinical Advisory Group for Prescribed Services has now given ministers its final recommendations on which services need to be commissioned nationally.

The group’s chairwoman, Dr Kathy Lean, said that the usually NHS sought to give the responsibility for planning and commissioning services to local health bodies.

‘But there is a potential tension between local determination and the need to plan for larger populations when for example a condition is rare or a service is provided in a small number of centres,’ she said.

Services to be commissioned by the NHS Commissioning Board (as recommended by the Clinical Advisory Group for Prescribed Services)

  • Specialised cancer services (adults)
  • Blood and marrow transplantation (all ages)
  • Haemophilia and other related bleeding disorders (all ages)
  • Specialised services for women’s health (adults)
  • Assessment and provision of equipment for people with complex physical disability (all ages)
  • Specialised spinal services (all ages)
  • Specialised rehabilitation services for brain injury and complex disability (adult)
  • Specialised neurosciences services (adults)
  • Specialised burn care services (all ages)
  • Cystic fibrosis services (all ages)
  • Specialised renal services (adult)
  • Specialised intestinal failure and home parenteral nutrition services (adult)
  • Specialised cardiology and cardiac surgery services (adult)
  • HIV/ AIDS treatment and care services (adults)
  • Cleft lip and palate services (all ages)
  • Specialised immunology services (all ages)
  • Specialised allergy services (all ages)
  • Specialised services for infectious diseases (all ages)
  • Specialised services for liver, biliary and pancreatic medicine and surgery (adults)
  • Medical genetic services (all ages)
  • Specialised learning disability services
  • Specialised mental health Services (all ages)
  • Specialised services for children
  • Specialised dermatology services (all ages)
  • Specialised pathology (all ages)
  • Specialised rheumatology services (all ages)
  • Specialised endocrinology services (adults)
  • Hyperbaric oxygen treatment Services (adults)
  • Specialised respiratory services (adults)
  • Specialised vascular services (adults)
  • Specialised pain management services (adults)
  • Specialised ear services (all ages)
  • Specialised colorectal services (adults)
  • Specialised orthopaedic services (adults)
  • Morbid obesity services (all ages)
  • Specialised services for metabolic disorders (all ages)
  • Specialised ophthalmology services (adults)
  • Specialised haemoglobinopathy services (all ages)

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