I dived into the Commissioning Board webpages and pulled out a few key facts about the process. I hope it’s useful!
The purpose of authorisation
Through the authorisation process, the NHS Commissioning Board will be assured that CCGs are able to commission the majority of healthcare safely, to discharge responsibly their stewardship of the majority of the NHS budget and exercise their functions in relation to improving quality, reducing inequality and being efficient, and hence delivering better outcomes within their resources.
The authorisation process is built around six domains, agreed with emerging CCGs and patient and professional organisations. Assessing CCGs through these six domains provides assurance that CCGs can safely discharge their statutory responsibilities for commissioning healthcare services. They are also intended to encourage CCGs to be organisations that are clinically led and driven by clinical added value. The domains are:
- A strong clinical and multi-professional focus which brings real added value
- Meaningful engagement with patients, carers and their communities
…which requires emerging CCGs to:
Understand the local population including a strategy for promoting choice.
Engage with patients and public including disadvantaged groups.
Use engagement in commissioning decisions
Collect and share information with patients and public
(Outer North East London Equality Strategy Jan 2012- March 2013)
3 Clear and credible plans which continue to deliver the QIPP challenge within financial resources, in line with national requirements (including outcomes) and local joint health and wellbeing strategies
4 Proper constitutional and governance arrangements, with the capacity and capability to deliver all their duties and responsibilities, including financial control, as well as effectively commission all the services for which they are responsible
5 Collaborative arrangements for commissioning with other clinical commissioning groups, local authorities and the NHS Commissioning Board as well as the appropriate external commissioning support
6 Great leaders who individually and collectively can make a real difference.
Within each domain, the guide gives criteria, the threshold for authorisation for those criteria, the evidence required and the sources for that evidence. It can be read in full at http://www.commissioningboard.nhs.uk/files/2012/01/NHSCBA-02-2012-7-Guidance-Developing-Clinical-Commissioning-Groups-Towards-Authorisation.pdf
The thresholds have been set to ensure CCGs can be innovative in delivering improved outcomes, while also remaining safe as statutory bodies responsible for commissioning health services.
Timescales for completion of authorisation process
|Torbay and South Devon are in Wave 2||July 2012||3 September 2012||November 2012|
|NEW Devon is in Wave 3||September 2012||1 October 2012||December 2012|
Statistics of each CCG
CCG code: 99P
CCG name: NHS North, East, West Devon CCG (NEW Devon)
No. of practices: 130
No. of LSOA*s: 533
CCG code: 99Q
CCG name: NHS South Devon and Torbay CCG
No. of practices: 37
No. of LSOAs: 173
The NEW Devon CCG area also shares borders with Somerset, Dorset and Cornwall.
*Lower Super Output Area = a measure of population between 1000 to 1500 in size relating to postcode areas, which enables statistics be gathered and reported over small areas. http://www.datadictionary.nhs.uk/data_dictionary/nhs_business_definitions/l/lower_layer_super_output_area_de.asp?shownav=1
If you want to know more about how NHS Data is gathered please visit http://www.connectingforhealth.nhs.uk/systemsandservices/data/nhsdmds
Devon’s Joint Strategic Needs Assessment (JSNA) can be viewed at www.devonhealthandwellbeing.org.uk CCGs will be expected to respond to evidence produced by the JSNA. LINks and Healthwatch will be able to help promote and support the involvement of patients, users of social care, community groups, organisations and individuals who could be consulted about local need.