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Jim Dowd: ...for Lewisham hospital, and the TSA does not even maintain that they do. He openly admits that the proposals will reduce patient choice sharply. The clinicians, the hospital board, the CCG, and various groups of GPs across Lewisham and beyond all say that the recommendations are a threat to the standard of care that the people of Lewisham can expect and all are opposed to the TSA’s...
Anna Soubry: I am concerned about it. It is unacceptable. I have already held a meeting with my officials and they are making further inquiries. I discussed with Mr Dawson what was happening locally in CCGs, which is where this will make a difference, when we see the power of our doctors and other health professionals to commission services, and the power and influence that patients and sufferers of...
Hazel Blears: ...be a time of instability. I am worried about the expertise—or lack of it—in the clinical commissioning groups when it comes to commissioning for something as complex as dementia. I want every CCG to have a lead for dementia, developing expertise and knowledge so that they know how to get the best from the money available. I would like to hear the Minister say that he wants to see a...
Steven Baker: .... Stewart George and Fred Hucker—irrespective of their individual merits—who chaired the Bucks and Oxfordshire PCTs, became joint chairmen of the cluster. Mr George is now moving to the CCG, and Mr Hucker to Buckinghamshire hospitals trust. A new era of openness, accountability and genuine public involvement seems unlikely, and continuity seems a dreary inevitability, but all that...
Daniel Poulter: Allocations per head, for each clinical commissioning group (CCG) in Yorkshire and Humberside for 2013-14 in cash terms and in 2012-13 prices are shown in the following table. CCG Cash prices (£) 2012-13 prices (£) NHS Airedale, Wharfedale and Craven CCG 1,172 1,149 NHS Barnsley CCG 1,378 1,351 NHS Bassetlaw CCG 1,267 1,242 NHS Bradford City CCG 952 934 NHS...
John Baron: The all-party group on cancer is delighted that the one and five-year cancer survival indicators have been included in the CCG outcome indicator set. We have campaigned for that in the belief that it will drive forward earlier diagnosis, as the Secretary of State knows. Can he clarify how CCGs will be held to account through that indicator set? For example, what action will be taken on...
Anna Soubry: Commissioning decisions made by clinical commissioning groups (CCGs) will be underpinned by clinical insight and knowledge of local healthcare needs. This will enable CCGs to work closely with secondary care, other health and care professionals and with community partners to design joined up services that make sense to patients and the public. We will continue to expect that those involved in...
Daniel Poulter: ...State will hold regular formal accountability meetings with the Chair of the Board and the minutes of these meetings will be published. The NHS CB will in turn hold clinical commissioning groups (CCGs) to account. The Board have recently published a Clinical Commissioning Group Outcomes Indicator Set which will drive up quality and provide transparency and accountability about the quality...
Anna Soubry: ...this document. It is for the NHS CB to decide how it will carry this out; the Government will hold it to account for the outcomes it achieves. The NHS CB published a Clinical Commissioning Group (CCG) Outcomes Indicator Set in December 2012. The NHS CB assures us that all of the indicators were chosen on the basis that they help contribute to the overarching aims of the NHS Outcomes...
Anna Soubry: As at 31 December 2012, no individuals have left the North Yorkshire and York Primary Care Trust to join either a clinical commissioning group (CCG) or the NHS Commissioning Board. However, 67 staff (53.59 full-time equivalent (FTE)) have a deferred appointment to a CCG and 18 staff (16.17 FTE) have a deferred appointment, to the NHS Commissioning Board. It is anticipated these staff will...
Anna Soubry: Commissioning decisions made by clinical commissioning groups (CCGs) will be underpinned by clinical insight and knowledge of local healthcare needs. This will enable CCGs to work closely with secondary care, other health and care professionals and with community partners to design joined up services that make sense to patients and the public. We will continue to expect that those involved in...
Earl Howe: ...South London Healthcare Trust. None the less, I understand their very real concerns about how any changes could affect their access to vital health services. These concerns are echoed by Lewisham CCG and many clinicians at Lewisham Hospital. I have had in-depth discussions with the honourable Members representing those affected, who have reflected those concerns to me. As a result, I asked...
Norman Lamb: ...receive. It is for the board to decide how they will carry this out; the Government will hold them to account for the outcomes they achieve. The NHS CB will in turn hold clinical commission groups (CCGs) to account. While the board will be expected to give CCGs freedom to commission services tailored to the needs of their local population, CCGs will be accountable to the NHS CB through an...
Earl Howe: Five out of the six clinical commissioning groups involved in that area were supportive of the changes. It is true that Lewisham CCG was not. However, the four tests were looked at and it was clearly determined by the trust's special administrator that those tests had been met.
Anna Soubry: ...better system. They will make decisions based on their own knowledge and understanding as clinicians. They will also, in many ways, be far more accountable than primary care trusts have been. Every CCG will have a representative on the upper-tier local authority’s health and wellbeing board. The theory that generated the highly controversial legislation that went through this place is...
Norman Lamb: .... It is for the NHS CB to decide how they will carry this out; the Government will hold them to account for the outcomes they achieve. The NHS CB, in turn, will hold clinical commissioning groups (CCGs) to account. While CCGs will have freedom to commission services tailored to the needs of their local populations, they will be accountable to the NHS CB through an annual performance...
Daniel Poulter: ...later in the year. Of course I expect any proposals to meet, where appropriate, the four tests for service change. I understand that the hon. Gentleman met representatives of Birmingham CrossCity CCG in December 2012 to discuss the review, and I encourage him to continue engaging with local NHS staff on the matter.
Daniel Poulter: The NHS Commissioning Board adopted a uniform 2.3% uplift for clinical commissioning groups (CCGs) because of concerns that, when combined with the estimated CCG baselines, the population-based formula implied a movement of resources away from areas with the worst health outcomes towards those with the best. The formula was recommended by the Advisory Committee on Resource Allocation. The...
Daniel Poulter: ...for changes in the way those services are provided, and decisions affecting the operation of those services. The Health and Social Care Act 2012 will require clinical commissioning groups (CCGs) to involve patients and public in all aspects of the commissioning of health services from 1 April 2013. CCGs have to set out how they will involve people in their planning, and then evidence the...
Andrew Slaughter: ...of this morning’s new stories. In case anyone has not seen it, let me read the headline points. It states: “More than a third of GPs on the boards of the new clinical commissioning groups (CCGs) in England have a conflict of interest resulting from directorships or shares held in private companies”. It continues: “conflicts of interest are rife on CCG governing bodies, with 426...
