He said in some areas CCGs appear to be ‘dominated’ by small numbers of practices who ‘have a lot of control over who gets in’. PCT clusters are also ‘engineering’ who is on the CCG boards in some areas, he added.
Dr Buckman said: 'The GPC is unanimous in continuing to want one-GP one-vote, both in terms of the ability to stand for a position of the CCG and vote for a position on the CCG.
‘We want to ask LMCs or anyone who is aggrieved to tell us where CCGs are not adhering to that. Unfortunately there are too many examples. I would like to tell you that there is only one unique CCG in the country and nobody else is doing it but that is not true.’
GPC negotiator Dr Beth McCarron-Nash warned that excluding sessional GPs from elections could undermine efforts to make efficiency savings and could stop CCGs from being authorised.
She said: ‘If CCGs don’t include sessional GPs then they run the very real risk that this group of doctors will not be brought into the ethos of the CCG. QIPP (quality, innovation, productivity and prevention) savings and having to abide by decisions made on their behalf may be more difficult.
‘It is in everybody’s best interest that all GPs are fully engaged in this process as we go forward to authorisation.’