Maria Caulfield: ...are also available from a hub location within the East Staffordshire Clinical Commissioning Group (CCG) area. NHS England and NHS Improvement have advised that work is underway across providers, CCGs and the local authority to optimise care provision in the area. The Staffordshire Integrated Care System continues the launch of general practitioner (GP) referrals into the Community...
Edward Argar: ...and NHS Improvement commission positron emission tomography/computed tomography scan while other diagnostic imaging involving nuclear medicine is commissioned by clinical commissioning groups (CCGs). It is for CCGs to commission those services according to the needs of their local population.
Edward Argar: ...delegation of public health functions. My reading of that is that, as I mentioned in my opening remarks on these clauses, there are some public health functions that are NHS and delegated through CCGs, such as GPs participating in child immunisation programmes—hence the reference to ICBs, because they will be replacing CCGs in the new world. Understandably, the hon. Gentleman talked...
Alex Norris: ...planned. We have to be mindful of that. During the evidence sessions, we heard about the safe staffing legislation for nurses in Wales. That is the sort of thing that would already impact on border CCGs, and will do on integrated care systems in due course. That will only grow as the considerable workforce pressures that we discussed in the previous debate bite down even harder. Again, we...
Edward Argar: ...existing references to clinical commissioning groups in legislation with references to integrated care boards. The schedule is necessary to ensure that existing primary legislation that refers to CCGs will continue to operate effectively once ICBs are established. Without it, references to clinical commissioning groups would be erroneous and the new commissioning bodies, ICBs, would not be...
Edward Argar: ...service in England, NHS England must exercise its functions in relation to English NHS trusts and foundation trusts, as well as in relation to ICBs, which will replace the current reference to CCGs, so that services are provided for that purpose. As part of the merger of NHS England, Monitor and the NHS TDA, and as a consequence of the abolition of Monitor and the NHS Trust Development...
Edward Argar: The Health and Care Bill will establish statutory integrated care boards (ICBs), which will take on the commissioning functions of clinical commissioning groups (CCGs) as well as some of NHS England’s commissioning functions. CCGs will be abolished by the Health and Care Bill. NHS England will continue to discharge those functions that can be most effectively exercised at a national level...
Edward Argar: ...resource use and local revenue resource use for ICBs, NHS trusts and NHS foundation trusts. Clause 23 removes the sections in the National Health Service Act 2006 relating to financial duties of CCGs and replaces them with new sections setting out the financial responsibilities of ICBs and their partners. Improving population health requires the breaking down of silos. Traditional...
Edward Argar: ...NHS England to consider doing so, if that was necessary. Before I close, I will make one further observation. The relationship between the ICB and ICP is very similar in reality to that between CCGs and health and wellbeing boards. Our experience there has suggested that disputes are rare, and in the vast majority of cases they have been resolved locally, without the need for any external...
Edward Argar: ...for Arfon. The hon. Member for Ellesmere Port and Neston touched on the appointment of chief executives and the termination of appointments. That power is broadly akin to the current power that CCGs have, and we are simply moving across the power that NHS England has over CCGs to reflect the new environment of integrated care boards.
Alex Norris: ...—about the arrangement of integrated care systems, such as they exist. At the moment, we know that NHS England holds certain responsibilities, the regional teams hold certain responsibilities and CCGs hold certain responsibilities at a local level. It is possible, after these reforms, that CCGs will be replaced by ICBs and the previous arrangements and responsibilities will remain...
Edward Argar: ...the responsibility of each ICB, subject to certain exceptions that may be created by secondary legislation. This is intended to replicate the ability to make exceptions to the responsibilities of CCGs by regulations in section 3(1D) of the National Health Service Act 2006. As with the existing regulations, the new regulations would be subject to the affirmative procedure of the House,...
Alex Norris: ...are the sort of people that the public want speaking for them in these ICB structures. That would be very welcome. We also know that, whether my supposition that the ICBs are going to be really big CCGs is right or not, CCGs had significant involvement from primary care clinicians and the ICBs will have less. That is definitely a point beyond contention, but there is still a reserved place...
Karin Smyth: I rise to support the amendment, particularly in relation to outcomes. The Government do not accept having reducing health inequalities as an aim. In my round-up of 20 years of CCGs and all the rest of it, the driver over the past 15 years has been to put primary care at the centre of those organisations, recognising that 90% of patient contacts are within primary and community services. We...
Edward Argar: ...Act 2006, which sets out the general function of clinical commissioning groups, with new section 1l, which sets out the general function of integrated care boards. It provides, in a similar way to CCGs, that ICBs have the function of arranging for the provision of services for the purposes of the health service in England. As a result, ICBs will now be the new commissioner responsible for...
Edward Argar: The clause removes the Secretary of State’s powers to make regulations about payments by NHS England to CCGs in respect of quality. We are not abolishing quality payments, but in future they will be made to integrated care boards rather than CCGs—hence the change. However, the current clause conflicts with clause 37—General power to direct NHS England—which provides the Secretary of...
Karin Smyth: ...think we would all agree. It is important to give them the profile they need to be integrated into the system, because they have certainly not been so far. The evolution of delegating that power to CCGs came late in the day, and remains muddled around the commissioning of primary care services. Therefore, while allowing the delegation of function is entirely sensible, it is not clear, as...
Edward Argar: ...we will be taking a very long time repeating the same words on multiple occasions. The clause also removes the requirement of the Secretary of State to consider the financial implications for CCGs—to be replaced with ICBs—when requiring NHS England to commission certain services. The change focuses the decision about categorisation of specialised services on the complexity and impact...
Edward Argar: Suffolk Clinical Commission Groups (CCGs) are looking to build on the extensive range of services already delivered at Hartismere Hospital. This will include a frailty and ophthalmology clinic. Suffolk CCGs are determining the shape, efficiency and take up of health and care services including community hospitals such as Hartismere.
Edward Argar: ..., co-developed with stakeholders, which sets out principles and guidance to support local organisations implement a safe and effective transition of staff from clinical commissioning groups (CCGs) to integrated care boards (ICBs). Whilst staff below board level in CCGs are protected by an ‘employment commitment', this does not apply to senior ‘board level’ roles which includes those...
