Dr Buckman also said he is ‘increasingly’ alarmed by the way in which some CCGs are being established and are operating.
He said while there are some good examples across the country he is ‘very concerned’ that in some areas GPs do not feel engaged with the changes or feel that have not been given the opportunity to be involved.
Dr Buckman said it is vital that the development process for CCGs is democratically accountable with all constituent practices working collaboratively.
He said: ‘In areas of good practice, board members are being properly nominated and elected, but we have heard of places where there has not been any adequate democratic opportunity or where not all GPs have been included in the process.
‘In some cases CCG board members have put in place untried and unacceptable measures to micro-manage practices, irrespective of the views of local GPs.’