Earl Howe: ...(including the likely impact of their size and their composition) in order to understand whether they are likely to meet criteria defined in the Health and Social Care Bill. We expect emerging CCGs to continue to work with their local primary care trust clusters on these arrangements in preparation for becoming statutory bodies. There is a large range in the size of emerging CCGs with the...
Baroness Wheeler: ...period, and whether its effectiveness is being held back by the lack of statutory provision. My third hope is that the NHS Commissioning Board will issue clear and strong guidance to assist CCGs in this matter, and I look forward to the Minister's response.
Baroness Williams of Crosby: ...patients should be paramount. The importance of that phrase is that in every single aspect of what we try to do, it shall always be the case that this is the way in which we think-whether it is how CCGs operate or how foundation trust hospitals operate. This has emerged in our debates increasingly as the central concept-the one to which we should always refer back. That will give us the...
Simon Burns: .... We intend to maintain incentive payments for drug treatment based on those currently used in the allocation of the Pooled Treatment Budget. Local authorities and clinical commissioning groups (CCGs) will be required to undertake Joint Strategic Needs Assessments (JSNAs) through health and wellbeing boards to understand the health and care needs of the whole local population. Based on...
Simon Burns: Subject to the passage of the Health and Social Care Bill, from 2013-14 the NHS Commissioning Board would be responsible for the allocation of resources to clinical commissioning groups (CCGs). The Board would 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. In addition,...
Earl Howe: ...to be the interests of the health service, provided that he considers that the failure is significant. They also clarify the same point for the Commissioning Board's intervention powers over CCGs and, in addition, where a national body may have functions beyond the remit of the health service, these amendments clarify that the Secretary of State can intervene where the body significantly...
Baroness Northover: ...Aspiration, published in March 2011, the Department for Education together with the Department of Health has appointed 20 pathfinder areas covering 31 local authorities, PCT clusters and emerging CCGs to test different ways of improving care for children and young people in this category. Critically, this includes a single assessment process and plan for education, health and care needs...
Andrew Lansley: ...The report will help to inform efforts to fully embed the constitution in the everyday work of the NHS, including the plans of the NHS Commissioning Board (NHSCB) and clinical commissioning groups (CCGs) to fulfil their duties to promote the NHS constitution. In order to make the most of this opportunity, I am keen to have a wide range of advice and I have therefore asked Professor Steve...
Baroness Thornton: ...it may be changed by the foundation trust board in agreement with the governors after proper consultation with the members of the trust; that it should be changed only after consultation with local CCGs and health and well-being boards; that regulations should set out the basis for consultation; and that major changes should only be additionally agreed with the regulators. In other words,...
Simon Burns: The White Paper ‘Equity and Excellence: Liberating the NHS’ proposed that clinical commissioning groups (CCGs) would have the freedom to decide which commissioning activities they do themselves and those that they choose to buy in from external organisations, including local authorities, private and voluntary sector bodies, and that over time a more competitive market will develop for...
Paul Burstow: Subject to the Health and Social Care Bill, clinical commissioning groups (CCGs) will be responsible for commissioning all appropriate services to meet patients' needs (except for those primary care and specialised services directly commissioned by the NHS Commissioning Board), including services for diabetes. CCGs will not specialise as such in particular conditions, but will need to draw on...
Earl Howe: ..., 21/12/11; col. 1802.] She is, of course, absolutely right. We are sensitive to these concerns. Your Lordships have already approved amendments that raise the threshold required for the board and CCGs to disclose personal information. Government Amendments 268, 280 to 282, 284, 285 and 287 to 289, which are supported by the BMA, further strengthen the protections in the Bill in relation...
Simon Burns: ...of members, and members of committees or sub-committees. Any payments currently made to general practitioners for attending meetings in relation to clinical commissioning or the development of CCGs are a matter for the relevant primary care trust.
Simon Burns: ...to be on providing high quality primary care to patients. The number of GPs actively involved in commissioning will depend on decisions made by individual GPs and by clinical commissioning groups (CCGs). However, most day-to-day activities in support of commissioning are likely to be undertaken by staff employed by CCGs and by commissioning support services. A small number of GPs will hold...
Simon Burns: ...proposed new commissioning system, the time spent by individual general practitioners (GPs) in relation to commissioning will depend on decisions made by GPs and by clinical commissioning groups (CCGs). GPs' predominant focus will continue to be on providing high quality primary care to patients. Most day-to-day activities in support of commissioning are likely to be undertaken by staff...
Anne Milton: Subject to the successful passage of the Health and Social Care Bill, infertility treatment services will be commissioned by Clinical Commissioning Groups (CCGs). We will continue to expect that those involved in commissioning infertility treatment services are fully aware of the importance of having regard to the National Institute for Health and Clinical Excellence fertility guidelines,...
Earl Howe: My Lords, I will speak also to Amendments 9 and 10. The three amendments in this group share a common purpose in strengthening the duties on the NHS Commissioning Board and CCGs in relation to reducing inequalities. I am grateful to my noble friend Lady Tyler for highlighting on Report the need to ensure this, and I promised at the time to introduce the necessary amendments at Third Reading...
Simon Burns: ...constitution in exercising his functions in relation to the health service. Although clinical commissioning groups will have autonomy in their individual decisions, Lords amendment 9 clarifies that CCGs must commission services consistently with the discharge by the Secretary of State and the board of their duty to promote a comprehensive health service, and with the objectives and...
Paul Burstow: ...of hard-to-reach groups, which are seldom heard from in our health system. As a result, their voices have not helped to shape commissioning decisions. We need to ensure that they do, so that CCGs commission effectively for their whole population. That is a key part of what the Bill provides for. As the Bill makes its way on to the statute book, Members of all parties will need to look...
Paul Burstow: ...of the CCG governing body will bring different perspectives, drawn from their different professions, roles, background and experience (and may include mental health perspectives). As commissioners, CCGs will need to have strong relationships with a range of health partners. This will provide them with access to information, advice and knowledge to help them make the best possible...
