Did you mean ccgs?
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Simon Burns: The arrangements we are proposing for commissioning would see clinical commissioning groups (CCGs) led by local clinicians responsible for coordinating the commissioning of complex or low volume services; including those for disabled children and young people. CCGs will have the flexibility to enter into collaborative arrangements. They can for example adopt a lead commissioner/CCG model and...
John Mason: ...will also be jobs in building the facilities and running them later on; 620 jobs, including 84 apprenticeships, will be linked to the village. I understand that this week Nicola Sturgeon visited CCG (Scotland) Ltd, which is making timber frames for the housing. One of the employees there, Paul Doherty, said: “After a lengthy period without work, I was fortunate enough to be given the...
Baroness Armstrong of Hill Top: ...be moving around. When I asked the chief executive of the Commissioning Board who would deal with these people, I was rather concerned to be told that it would be clinical commissioning groups. CCGs might do so, but I am not convinced that they necessarily will. First, CCGs may well not be very aware of the numbers involved, particularly if they are not inner-city commissioning groups, and...
Earl Howe: ...as a whole. If it fails to do so-as the noble Lord, Lord Warner, rightly reminded us-we are all in trouble. The noble Lord, Lord Hunt, asked how we can achieve comparable performance measurement of CCGs. The board will be required to publish an assessment of CCG performance annually, including their financial functions. It must also publish a summary report of the performance of all CCGs....
Earl Howe: .... The noble Lord, Lord Hunt, suggested that the board should play a leadership role. The Bill allows for that to happen in a number of ways, using commissioning guidance to set expectations on how CCGs should deal with reconfigurations that span CCG boundaries. It would also provide access to advice in the form of senates to help them develop their proposals. Ultimately, where a local...
Baroness Barker: My Lords, can my noble friend tell me where in the legislation it is made clear, if a CCG were to have a conflict-that is, a disagreement-with the commissioning support organisation, where and how that conflict would be resolved?
Lord Marks of Henley-on-Thames: ...and at law. In considering how far the proposed intervention powers meet those objectives, two features of the Bill are central. The first is the devolution of the commissioning arrangements to the CCGs, which is, as my noble friend mentioned, at the heart of the Bill. The second is the supervisory role of the board over commissioning. The board is to act on the mandate of the Secretary of...
Baroness Thornton: ...say that the publication of the Government's recent draft guidance on commissioning, Developing Commissioning Support: Towards Service Excellence, in effect decrees that by 2016 the real work of CCGs will be outsourced, presumably to large private providers, which makes me start to question what is left for CCGs to worry about. However, the issue that these amendments deal with is a...
Baroness Emerton: ...workforce and play a vital part in delivering high-quality, safe care with compassion, respect and dignity, the implementation programme requires leadership from the profession nationally and at CCG level, as well as at the point of delivery of care, from ward sisters in secondary care and from nurse and midwife leaders in the community. Nursing could best be described as the art and...
Baroness Finlay of Llandaff: ...about whether clinical commissioning groups are just like PCTs and asked for a yes or no answer, the Minister replied: "In terms of population responsibility, the responsibilities are very similar. CCGs are responsible for patients on the registered lists of their constituent practices as well as having specific area-based responsibilities ... linked to their unique geographic coverage"....
Baroness Barker: ...I very much support. The first scenario that the Law Society and others were trying to probe in that amendment was one where it was unclear whether or not a patient came under the auspices of a CCG. The second was what would happen if a CCG decided not to commission a particular type of service-for example, some kind of psychological therapy-and it did so independently and not in...
Baroness Thornton: ...and more coherent. We have taken out the nonsense parts, such as the voting system in Clauses 116 to 121, which as it were bring the X Factor system into the NHS. Why not have phone-in votes for CCG chairs, for example? We have taken out the convoluted and bureaucratic ideas around levies and risk pooling. After all, that is part of what the NHS is for-to pool the risks. Our advice is to...
Lord Clement-Jones: ...' areas. I hope that it is the intention in the setting of national tariffs that they will be uniform and there will be no difference in tariff paid by one provider versus another within the same CCG area. With that, I think that I have completed all the amendments that I intended to speak to.
Baroness Williams of Crosby: ..., and I am delighted that the noble Lord, Lord Mawhinney, takes the view that they should be seriously considered by the Minister. The point of Amendment 296 is to recognise that, in many cases, CCGs have to take account of the services given by foundation trusts-not least in respect of, for example, pathways and networks for people with chronic conditions. We thought, therefore, that it...
Baroness Williams of Crosby: ..., but the situation has to go a great deal further. We are particularly attracted by his Amendment 336 because it is very clear and precise in what it suggests about the relationship between CCGs, particularly those who wish to devolve some of their responsibilities, or in some cases are unable to deliver on those responsibilities. I would like to say, from these Benches, on behalf of my...
Earl Howe: ...which are members of the clinical commissioning group, to benefit in an improper way. It will have to be done openly. If a GP practice were to wish to acquire property that is owned by the CCG, there will be transparent processes to make sure that this is done in the correct fashion. In these circumstances, the property deeds are transferred to the clinical commissioning group as a...
Baroness Lister of Burtersett: ...of life's ironies. Through a system of community care grants and crisis loans, the discretionary Social Fund provides vital cash assistance to some of the most vulnerable members of the community. CCGs help people on out-of-work benefits to remain in or set up their own home, to retain their independence. We are talking, for instance, about young people leaving a children's home or foster...
Simon Burns: The sixth cohort of Clinical Commissioning Group (CCG) pathfinders was announced in October 2011, taking the number of pathfinders in the North East to 14, covering the entire population. Emerging CCGs are working with primary care trust and strategic health authority clusters on developing the right configurations, and consequently the number of individual CCGs would change when practices...
Lord Harris of Haringey: ...on the progress made, seems an essential first step in making sure that that happens. The reports on inequalities will be increasingly important in this area. However, Amendment 112, dealing with CCGs' annual reports on how they have discharged their duty to reduce inequalities, raises another question, and this comes back to the issue of what will be the catchment areas of individual...
