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September 19, 2012
Just exactly who will be responsible for failure in the new NHS, Mike Sobanja explains

Dear Florence, we have found the answer...

Nearly thirty years ago, as a precursor to the introduction of general management in the NHS Roy Griffiths famously said: “If Florence Nightingale were carrying her lamp through the NHS today she would be searching for the people in charge.’ The result was the demise of multi-dsciplinary  consensus management in the NHS. Next month, the Francis enquiry may ask a similar but more powerful question – “who is accountable for the quality and safety of services in the NHS?”

May 23, 2012
LMCs say CCGs must consult them on decisions that could affect general practice providers.

All CCGs must consult with LMCs on any decisions made that could affect providers of general practice, LMCs say.

In proposing the motion at yesterday’s (22 May) LMC Conference in Liverpool, Dr Peter Littlejohns, Chair of Hampshire and Isle of Wight LMC, said the move should be written into legislation as it is “unlikely” CCGs will volunteer LMC involvement.

May 22, 2012
CCGs should be allowed to exclude practices that pose a threat to the local health economy.

CCGs should be allowed to exclude “dysfunctional” practices that pose a threat to the local health economy.

May 18, 2012
DH advisor James Kingsland warns that CCGs should prioritise practice performance management.

CCGs should prioritise the performance management of their practices on the same par as their new commissioning duties or risk morphing into the PCT structure of the old, a DH advisor has warned.

May 15, 2012
Only three CCGs out of 38 in London take part in the first wave of applications.

Only three CCGs out of 38 in London have chosen to take part in the first wave of authorisation applications despite a £7m training investment across the region.
 
NHS London drafted in private firms such as McKinsey and KPMG last year to get London CCGs ready for authorisation.
 

May 9, 2012
The NHS Commissioning Board appoints the directors to provide local oversight over CCGs.

The NHS Commissioning Board (NHS CB) has appointed its four regional directors to provide local oversight over CCGs.

Their first key task is to work with PCTs, SHAs and other stakeholders to co-design a proposal for the final model of the NHS CB’s network of Local Area Teams.

The four regional directors are:

May 4, 2012
Victoria Vaughan analyses what will happen if GPs fail to pull their weight in the new CCG structure.

Herding cats. When people talk about getting GPs to do anything collectively, the phrase "like trying to heard cats" follows accompanied by an eye-roll and a chuckle.

But the saying is used so commonly for a reason. Historically, it has always been difficult to marshal GPs into a particular way of behaving. 

Now a change in behaviour is required by law. But what will happen if certain GPs don't take the lead? Will they be charged with breaking the law and thrown in jail? Not likely. 

April 13, 2012
Chief Executive of the NHS Confederation Mike Farrar speaks exclusively with GP Business.

CCGs have been urged to secure their involvement in the design of the NHS Commissioning Board's (NHS CB) local offices to avoid future failure.

In an exclusive interview with GP Business, Chief Executive of the NHS Confederation Mike Farrar (pictured) implored CCGs to develop federated models to work together once they have their constitutions in order and have passed the authorisation process.

March 19, 2012
The chair of the RCGP has called upon a private law firm to produce some much-needed guidance to support CCGs in coping with disengaged practices

The chair of the RCGP has called upon a private law firm to produce some much-needed guidance to support CCGs in coping with disengaged practices. 

Speaking at a GPB commissioning roundtable last week (13 March), Dr Clare Gerada said there is a lack of centrally written guidance to advise how CCGs and their participating GP practices alike cope when conflicts arise.