Here are some fact sheets about CCG development.They are in fairly plain english…
Regarding the roles of Patient Participation Groups at GP surgeries (PPGs) in the decisions of Clinical Commissioning Groups, the authorisation process described here spells out the requirements …. PPGs are a big part of the picture, however there is also an additional need to commission for other groups of patients.
The duty is …
“• To commission healthcare to the extent the CCG considers necessary to meet the reasonable requirements of:
· patients registered with the GP practices who are members of the CCG;
· people who usually live within the CCG’s defined geographic area who are not registered with any GP practice (except where regulations prescribe otherwise).
• To commission healthcare for other groups of patients as defined in regulations. This will include:
· commissioning emergency care for any person present in the CCG’s geographic area
· commissioning services for people receiving NHS continuing healthcare in out-of area placements.
To make arrangements to secure public involvement in the planning of commissioning arrangements and in developing, considering and making decisions on any proposals for changes in commissioning arrangements that would have an impact on service delivery or the range of health services available.”
Public engagement must be “meaningful”….and the commissioning information will be contained primarily within the JSNA. CCGs will have a duty to help prepare this information …
…and will be required to use it, through membership of the Joint Health and Well Being Board…
- “two core responsibilities for future health and wellbeing boards – preparing joint strategic needs assessments (JSNAs) and joint health and wellbeing strategies….Refreshing the JSNA and developing the joint health and wellbeing strategy over the coming months will provide local partners including clinical commissioning groups (CCGs) with a jointly-agreed and locally determined set of priorities on which to base their commissioning plans within the reformed health and care system going forward. Demonstrating the partnership work necessary to make this happen will play an important role in authorising CCGs to take on their crucial role.
- The strengthened role of JSNAs and joint health and wellbeing strategies will enable the local health and care system to go further than ever before. For the first time, decisions about health and care will be made on the basis of clinical expertise, evidence from the JSNA…As the transition to the new health and care system takes shape, emerging health and wellbeing boards will want to drive the refreshing of JSNAs and preparation of joint health and wellbeing strategies, not only to help the authorisation of their CCG members, and to underpin commissioning plans for 2013-14; but also to give all local partners a set of jointly agreed priorities to work on together in the new health and care system.”
The legislation is interpreted in here in section 2 (the Functions of Clinical Commissioning Groups). Developing Local Healthwatch Organisations will need to form effective relationships across all these bodies; the CCGs will not operate in isolation from the JSNA and the Joint Health and Well Being Strategy, but in turn, as part of a system of checks and balances, will have to show its commissioning plans fit with the Joint Health and Well Being Strategy.
- NHS clinical commissioning is already in a critical condition | Kailash Chand (guardian.co.uk)
- Health and Wellbeing Board (islingtonblogs.typepad.com)
- So what is commissioning and why would any sane GP want to get involved? (nasgp.wordpress.com)