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Subject to the passage of the Health and Social Care Bill, the NHS Commissioning Board will have a duty to conduct a performance assessment of each clinical commissioning group in respect of each financial year.
When conducting a performance assessment, the board has a duty to consult each relevant health and well-being board as to its views on the clinical commissioning group's contribution to the delivery of any joint health and well-being strategy. Health and well-being boards will include a director of children's services.
The board will have a duty to have regard to jointly prepared local joint strategic needs assessment (JSNAs) and the joint health and well-being strategy (JHWSs) in its own direct commissioning.
The board will have responsibility for the direct commissioning of a number of services from April 2013, including those services for people with rare conditions, which are currently commissioned at both a national and regional level as described in the Specialised National Definitions set.
There will be senior clinical leadership for children's health services within the NHS Commissioning board providing advice and support to commissioners.