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End micromanagement of CCGs, NHSCC urges government


22 October 2015

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Commissioners need a “more mature” partnership with national bodies, and micromanagement must end, NHS Clinical Commissioners (NHSCC) has urged the government in a new report released today.

Local Solutions to National Challengesasks for a number of things from national bodies, including ending micromanagement, creating a more proportionate assurance regime and support when clinical commissioning groups (CCGs) have tough decisions.

Commissioners need a “more mature” partnership with national bodies, and micromanagement must end, NHS Clinical Commissioners (NHSCC) has urged the government in a new report released today.

Local Solutions to National Challengesasks for a number of things from national bodies, including ending micromanagement, creating a more proportionate assurance regime and support when clinical commissioning groups (CCGs) have tough decisions.

NHSCC also wants five year planning with a multi-year settlement to support this, a reform of the current tariff system of payment to prioritise prevention rather than hospital care, and a single outcomes framework for health, public health and social care so CCGs can focus on long-term issues.

In response to the report, Dr Amanda Doyle, NHSCC co-chair and chief clinical officer of NHS Blackpool CCG said: “No one underestimates the challenge of transforming our health services but CCGs are more than capable of undertaking this task. To do so however we must be allowed to focus on our role of transforming health services for our local people, rather than being diverted by narrow short-term priorities imposed from the centre, as is currently the case.”

The membership organisation also called for “real recognition” that diverse geographies need diverse local solutions and that national government may set out the principles but they should leave CCGs to choose the best healthcare for their local populations.

Dr Steve Kell, NHSCC co-chair and chair of NHS Bassetlaw CCG added: “CCGs are fully committed to the aims of the Five Year Forward View but are concerned that one year in there is a real risk we are heading off its course and in the wrong direction. The changes we are calling for today set out how we can get back on track… The system is no longer sustainable and the time for quick fixes is past.”

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