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Initial thinking on clinical commissioning group (CCG) authorisation

Initial thinking on clinical commissioning group (CCG) authorisation. What is authorisation?. The process by which a clinical commissioning group (CCG) can be legally established to take on its commissioning and other statutory duties

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Initial thinking on clinical commissioning group (CCG) authorisation

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  1. Initial thinking on clinical commissioning group (CCG) authorisation

  2. What is authorisation? • The process by which a clinical commissioning group (CCG) can be legally established to take on its commissioning and other statutory duties • Part of a development journey, which is the beginning of an ongoing relationship between CCGs and the NHS Commissioning Board • Supporting CCGs to be the best they can be • The way in which we assure ourselves that we have moved from a vibrant network of pathfinders to comprehensive coverage of established CCGs across England • A nationally consistent process, so that all emerging CCGs can have confidence that the same standards are being applied

  3. Authorisation in context • By April 2013, established CCGs will need to cover the whole of England, without gaps • Each CCG will have been authorised to take on some or all of the commissioning responsibilities for the population it serves • Subject to parliamentary approval, once the NHS Commissioning Board is formally established as a non-departmental body (likely to be between July and October 2012) it can begin to consider applications for the establishment and authorisation of CCGs • Once authorised, CCGs will take part in an annual assessment which will determine the nature of support or conditions going forward.

  4. “Developing CCGs: Towards authorisation” • Work in progress which sets out the early thinking on the authorisation process • A way to develop the process transparently so the direction of travel is known • Developed through a comprehensive programme of engagement – with pathfinders, DH and NHS leaders and a range of stakeholders including other clinical professionals, local authorities and patients and the public • Brings together the results of that engagement alongside views expressed in the listening exercise and subsequent government response • Outlines the practical ways in which CCGs can take up development opportunities and the ways in which they might become authorised over the next two years

  5. “Developing CCGs: Towards authorisation” • Needs to be read with recognition that all proposals are subject to change and refinement as the Health and Social Care Bill passes through Parliament • Sets out some of the support that CCGs can expect from SHA and PCT clusters • Needs further development and testing over the coming months to take these proposals forward • At this point, is being shared with key stakeholders (pathfinders, primary care organisations, local government, third sector partners, SHAs / PCTs etc.) to support ongoing development and refinement • Welcomes comments / feedback to support ongoing development

  6. “Developing CCGs: Towards authorisation” • The draft document includes: • The context for authorisation of CCGs including the key principles for authorisation and the journey of continuous improvement • The proposed focus for authorisation and six key domains, likely to describe the preconditions of success for CCGs. • Information on the journey to authorisation and explanation of the proposed phased approach and what it might entail • The development opportunities CCGs might expect on their journey to authorisation and beyond • What will happen next. • The draft document is supported by a technical annex, which includes technical appendices: - likely legislative requirements for authorisation, currently under scrutiny by parliament - details on risk assessment of configuration - a comprehensive description of the aspects of each domain to which CCGs should aspire, summarised from engagement with stakeholders in recent months - details of supporting documentation that will be released in the coming months

  7. Over the coming months… • Based on feedback received, the approach is refined and a formal document is published (Autumn 2011) • The NHS Commissioning Board (in shadow form from October 2011) takes the final decision on how authorisation of CCGs will work • The NHS Commissioning Board publishes the final Authorisation Framework in early 2012

  8. Your feedback / views are welcomed on how this draft could be improved and future aspects of the ongoing programme • Via primary care organisations (e.g. RCGP, FDA etc.), other stakeholder organisation or SHA Director of Commissioning Development • Feedback received will be collated around the end of August/ mid September and the document will be formally published in the Autumn

  9. For further information… Contact: andy.gregory1@nhs.net or wendy.saviour@nhs.net They will pass your feedback on to the Department of Health as they receive it

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