A fact sheet published by the NCB this week sets out who will commissioning what in England once PCTs are abolished on 1 April 2013. But it states that the information is subject to secondary legislation expected to be laid before parliament in the autumn.
The document also sets out the complementary services to be commissioned by local authorities and Public Health England.
England’s 212 CCGs will be responsible for commissioning urgent and emergency care including 111, A&E and ambulance services, and out-of-hours primary medical services except where this responsibility has been retained by practices under the GP contract.
The fact sheet for CCGs reads: ‘A number of previous documents have described commissioning responsibilities, but this fact sheet is intended to be a helpful summary, with further clarity on certain aspects. It is not a substitute for legislation or guidance or your own legal advice.
‘In general, you as CCGs will be responsible for commissioning health services to meet all the reasonable requirements of your patients, with the exception of: certain services commissioned directly by the NHS Commissioning Board; health improvement services commissioned by local authorities; and health protection and promotion services provided by Public Health England.’
It states that in most cases, CCGs will be responsible for meeting the cost of the services provided. But it adds that there will be some services a CCG commissions, such as A&E, where the costs for an individual patient may be charged to another CCG. This may apply where a patient is registered in a different CCG or is unregistered. The NCB said there would be more guidance on this in ‘due course’.