Did you mean ccgs?
Earl Howe: ...could or should be improved. Where the board is provided with advice, it must inform HealthWatch England of its response, or proposed response, to the advice. However, if an individual feels that a CCG, or the board, or any other body in the future health service, has neglected their responsibility with regard to tackling inequalities, they can do several things. They may raise the matter...
Lord Harris of Haringey: ...on reconfiguring services and who would make decisions when services were not adequate or when there were issues of equality of healthcare to be addressed. At one point, the Minister said, "The CCGs will be supported in their efforts to improve quality by the NHS Commissioning Board".-[ Official Report, 8/2/12; col. 314.] Later on, when I probed him on this, he said that "the board"-that...
Baroness Williams of Crosby: ...group, although there is a very strong case for having one where a commissioning group is happy to have him or her. However, in the case of the board, which after all overlooks the whole CCG structure, it is absolutely vital that a public health officer should be present and should be able to put emphasis on preventive health. It would also be a signal to the health and well-being boards...
Simon Burns: Information on remuneration for doctors working for emerging clinical commissioning groups (CCGs) is not held centrally. Once established, the governing body of a CCG will have the responsibility to determine remuneration, fees and allowances payable to employees of the CCG and to those that provide services to the CCG. Each clinical commissioning group will have a limit on administrative...
Andy Burnham: ...raise concerns not only about reorganisation but about fundamental flaws in the policies that the Health Secretary wants to take forward. NHS Lincolnshire warns of a “conflict of interest in CCG commissioning and provision: perceived or actual conflicts of interest arising from GPs as both providers and commissioners may impair the reputation of the CGG and, if not managed, may result in...
Earl Howe: Each emerging clinical commissioning group (CCG) was recently invited by their strategic health authority cluster in November 2011 to participate in an initial risk assessment of their proposed configuration (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...
Baroness Barker: ...fears and concerns about conflicts of interest. Like many other noble Lords, I believe it is important not only that members of the public have faith in the integrity of the decisions being made by CCGs but that members of the professions believe in those decision-making processes and feel able to participate in them. They should also have the protection of good governance and good...
Lord Marks of Henley-on-Thames: ...NHS functions and is very general. The provisions that we seek by way of these two amendments are specific to the commissioning process. They will impose a binding obligation on the board and the CCGs of which they will at all times be aware. Moreover, our amendments are directed particularly at responding to what is probably the principal concern that members of the public have about...
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...
Baroness Cumberlege: ...also relates to the experience from HealthWatch England. If the local healthwatch has not done work on a particular provider but those in other areas have, that intelligence will be available to a CCG commissioner who is considering giving the contract to a new provider. It has been pointed out to me that Clause 182(6) already requires CCGs to have regard to those reports and...
Andrew Lansley: ...—or is he? No. Well, what about clinically led commissioning, with doctors and nurses who are responsible for our care given the leadership role in designing services? We heard earlier about one CCG, but 75 leaders of clinical commissioning groups wrote to The Times a fortnight ago. Let me quote them, because it is instructive of what is happening. They said: “Since the…Bill was...
Simon Burns: Subject to the Health and Social Care Bill, once a clinical commissioning group (CCG) is established as a statutory body, its governing body will determine the remuneration, fees and allowances payable to the employees of the CCG, or to other persons providing services to it, and will be advised on this by the remuneration committee. The CCG members will determine the remuneration, and...
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...
Baroness Tyler of Enfield: ...in a way that we have not seen before. I will not repeat precisely what these amendments do, because they have been very ably set out. Briefly, however, in relation to the requirement that each CCG's performance is assessed each year by the board and includes the progress made in reducing health inequalities, we all know that what gets measured gets done. That is what makes this...
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: The main function of a governing body of a Clinical Commissioning Group (CCG) will be to ensure that the CCG has appropriate arrangements in place to ensure they exercise their functions effectively, efficiently and economically and in accordance with generally accepted principles of good governance. Individual members of the CCG governing body will bring different perspectives, drawn from...
Simon Burns: No, I do not believe it is. The administration figure that has been announced for CCGs throughout the country is £25 a patient, but if a CCG is more effective and efficient in providing administration and bureaucracy and makes savings, those savings can be transferred and reinvested in funding the care of their patients. That is an incentive for them to be streamlined and to ensure that that...
Earl Howe: My Lords, I do not accept that. CCGs will be subject to rigorous safeguards that prevent conflicts of interest affecting their commissioning decisions. Each CCG has to maintain registers of interest. They must have a governing body with lay members on it and other non-GP clinicians who will oversee the arrangements for governance. Each CCG must make arrangements set out in their constitution...
Simon Burns: ...of general practitioners (GPs). This is part of the role of strategic health authorities and primary care trusts and, going forward, the NHS Commissioning Board and Clinical Commissioning Groups (CCGs). We are working with emerging CCGs to put in place development opportunities and support for those individual GPs (and other health care professionals) who are coming forward to take on...
