NHS England requires all CCGs to involve 'at least one secondary care specialist and a nurse' on their governing body.
But a spokeswoman for NHS England said CCGs that had yet to appoint a secondary care doctor to their governing body at the time of authorisation had a ‘condition’ imposed, providing them with extra support including interim appointments to these roles.
Just one CCG – Waltham Forest – still has a condition relating to this, she said, but this is expected to be removed at an upcoming review because it has now made an appointment to the role.
She said: ‘CCGs had a condition placed upon their authorisation if they had not yet appointed a secondary care doctor to the governing body.
‘Wherever a CCG had a condition placed upon their authorisation, NHS England has provided support to the CCG to remove the condition. The secondary care doctor role is statutorily required for CCG governing bodies, and these conditions were therefore accompanied by higher levels of support from NHS England area teams.
‘This has involved identifying appropriate interim post-holders for the secondary care doctor posts on governing bodies and supporting CCG recruitment processes.’