Paul Burstow: ...section 14Z14 of the National Health Service Act 2006, the NHS commissioning board must also consult each relevant health and well-being board in making its annual performance assessment of those CCGs.
Baroness Wheeler: ...The Government have similarly failed to bring greater transparency to clinical commissioning groups and foundation trusts by allowing substantial loopholes and leeway. There is a get-out clause for CCGs that want to avoid meeting in public. The wording of the Bill states, "except where the consortium considers that it would not be in the public interest to permit members of the public to...
Earl Howe: ...short-term, politically motivated whims of government. Clause 7 creates clinical commissioning groups as statutory bodies authorised by the board which will commission local healthcare services. CCGs, consisting of groups of GP practices and with doctors in control, will be stewards of the bulk of the NHS commissioning budget and will be held transparently and rigorously to account for the...
Lord Patel of Bradford: ...time, expertise, understanding and above all the willingness to act on what people say. It is not a cheap option. The guidance goes on to state that: "Plans are in place to ensure that the emerging CCGs can effectively engage with and gather insight from patients and the public, including disadvantaged groups". Perhaps the noble Earl can tell us what these plans consist of? Three questions...
Simon Burns: ...London. Subject to the passage of the Health and Social Care Bill, from 2013-14, the NHS Commissioning Board will be responsible for the allocation of resources to clinical commissioning groups (CCGs). The board will allocate resources to CCGs in a way that supports the principle of securing equivalent access to NHS services relative to the prospective burden of disease and disability. How...
Simon Burns: ...in the accounts of primary care trusts (PCTs) in their final year of operation. The 2011-12 NHS Operating Framework states that general practitioner consortia (now clinical commissioning groups or CCGs) will have their own budgets from 2013-14 and they will not be responsible for resolving PCT legacy debt that arose prior to 2011-12. PCTs and clusters must ensure that, through planning in...
Anne Milton: ...this, NICE is developing a Quality Standard (QS) for ovarian cancer which will set out what good ovarian cancer treatment and support looks like and will help support clinical commissioning groups (CCGs) when they take responsibility for commissioning ovarian cancer services. Detection of ovarian cancer in primary care will also be considered when developing this standard. Subject to the...
Earl Howe: ...what services are necessary to meet the reasonable requirements of their local population. The Commissioning Board will issue commissioning guidelines and monitor the commissioning activity of CCGs with a view to ensuring that no essential services go uncommissioned in any given locality. I say again to the noble Earl, Lord Listowel, that we will consider mental health issues in a later...
Baroness Cumberlege: ...their meetings and was very impressed by the integration that they had achieved. That was very encouraging. I note that new Section 14Y on page 37 contains a duty to promote integration as regards CCGs. Subsection (1) states: "Each clinical commissioning group must exercise its functions with a view to securing that health services are provided in an integrated way where it considers that...
Earl Howe: ...of their patients-the clinicians. Therefore, we think it is right that the duty of candour is set out in the contracts that clinical commissioning groups will enter into with service providers. CCGs will be responsible for holding providers to account and therefore will in any case need to consider patient safety events in doing so. In future, the Secretary of State will ensure that this...
Earl Howe: ..., they could also be damaging. That is because there is the potential under some of the amendments, however inadvertently, to limit the scope of the responsibilities which the Bill places on CCGs. Amendments 188 and 114 could limit the effect of the scope of the duty on reducing inequalities to a duty only in relation to reducing inequalities and access between rural and urban areas. That...
Simon Burns: ..., partnership working and integration across local government and the NHS at all levels. The drivers of integration in the modernised health and care system will be clinical commissioning groups (CCGs), the NHS Commissioning Board, Monitor and local government. CCGs and the NHS Commissioning Board Will both have new duties to promote integrated working by taking specific action to secure...
Simon Burns: Subject to the passage of the Health and Social Care Bill, general practitioners (GPs) will be given real responsibility through clinical commissioning groups (CCGs) to ensure that commissioning decisions are underpinned by clinical insight and knowledge of local health care needs. GPs, in partnership with other local health care professionals such as therapists and community nurses, are best...
Earl Howe: It is too soon to estimate the number of clinical commissioning groups (CCGs) that will be operational in April 2013. There are, however, currently 266 pathfinder CCGs covering 95 per cent of general practitioner (GP) practices in England. The expectation is that CCGs will have a management allowance that could be in the range of £25 to £35 per head of population by 2014-15. We will not...
Lord Turnberg: ..., and they are not at all keen. They say that there is not enough time. Yet their role is critical, not only to facilitate clinical research performed by others but to be responsible, through the CCGs, for commissioning those extra support costs that arise when research, funded by charities, the MRC and so on, is carried out. Research on patients supported, for example, by the British...
Simon Burns: Shadow allocations to clinical commissioning groups (CCGs) for 2012-13 will be published later this year. The Secretary of State for Health, my right hon. Friend the Member for South Cambridgeshire (Mr Lansley), has asked the Advisory Committee on Resource Allocation, an independent committee including general practitioners, national health service managers, public health experts and...
Simon Burns: Shadow allocations to clinical commissioning groups (CCGs) for 2012-13 will be published later this year. The Secretary of State for Health, my right hon. Friend the Member for South Cambridgeshire (Mr Lansley), has asked the Advisory Committee on Resource Allocations, an independent committee including general practitioners, national health service managers, public health experts and...
Simon Burns: ...the Health and Social Care Bill, the NHS Commissioning Board will be responsible for the allocation of national health service resources and pace-of-change policy to clinical commissioning groups (CCGs). The board would be expected to allocate resources to CCGs in a way that supports the principle of securing equivalent access to NHS services relative to the prospective burden of disease...
Baroness Hussein-Ece: ...be seen to be a key member if we are to aspire to improving the health of the population. Someone experienced in public health should have a very strong voice on the national, as well as the local, CCGs . I now turn to Amendment 52C in the name of my noble friend Lady Jolly, which aims to have as a board member someone who is also the chair of HealthWatch England. I support having the...
Lord Patel: ...suggested that clinical senates should be a way of getting advice to all the different new structures. In response to the Future Forum, the Government said that clinical senates will give advice to CCGs which they must follow in each area of the country. At the same time, Dr Kathy McLean, who led on the project, is leading another project and has issued a consultation letter to develop the...
