2 Introduction 3 The English Health and Social Care Act 2012 gave GP-led Clinical Commissioning Groups (CCGs) 4 responsibility for commissioning the majority of heal th care services for thei r … CCGs are clearly enthusiastic about the opportunities this affords them, but it is as yet too early to tell how far this will be achieved.6 In terms of supporting the development of new ways to deliver care, our ongoing research suggests that the ability to vary local contracts for enhanced primary care provision has supported the incentivisation of practices to work together ‘at scale’. Design We undertook an exploratory approach, combining … @BJGPjournal's Likes on Twitter !function(d,s,id){var js,fjs=d.getElementsByTagName(s)[0],p=/^http:/.test(d.location)? London NW1 2FB The hope is that practices will eventually move towards different organisational forms that could take on new contracts arising out of the FYFV, such as multispecialty community providers (MCP). Key points for CCG member practices and LMCs. This may have significant implications for the sustainability of CCGs as clinically-led commissioning organisations, as they may struggle to fill GB places. NHS Leeds CCG has taken on joint responsibility (with NHS England) for the co-commissioning of primary care (GP) services. Last, with no additional financial resource and a loss of managerial expertise since PCTs were abolished, CCGs are grappling with difficult organisational and structural issues around commissioning primary care.6 The previous transactional approach taken by NHSE left CCGs having to deal with considerable legacy issues such as getting hold of and understanding existing contracts. The NHS Five Year Forward View set out, amongst other matters, a number of proposals in relation to primary care commissioning. The survey explored members' views of their CCG and its role in primary care. The attached Terms of Referencefor the Joint Commissioning Committee as requiredis based ) on the model (template as set out in annex d of ‘Next Steps towards Primary Care Commissioning’ d has been developed with an the support of NHS Englanderms of Reference. ONTROL 1. As of 1 April 2017 Ealing CCG is now fully responsible for for the management of its primary care medical services, and the joint committee is no longer in place. It is one of a series of changes set out in the NHS Five Year Forward View to transform the way primary and community care services are provided for local people. Joint Commissioning of Primary Care and alignment of all commissioning activities: Adult & Children’s Social Care, Health and Primary Care will help to … PRIMARY CARE CO-COMMISSIONING A Briefing for Practices October 2015 . NOTE: We only request your email address so that the person to whom you are recommending the page knows that you wanted them to see it, and that it is not junk mail. This means that we are working closely with our member practices to see how we can improve access and service quality across Leeds. You can also find guidance and support on the GOV.UK website. Questions can be posed to the Primary Care Commissioning Committee; ideally these must be submitted the day before the meeting is held. Two years on, how have CCGs responded to their new responsibilities and what challenges do they face? In practice, these two things may not be easy to separate. Primary care co-commissioning: challenges faced by clinical commissioning groups in England, Equity and excellence: liberating the NHS, Securing excellence in commissioning primary care, Engaging GPs in commissioning: realist evaluation of the early experiences of clinical commissioning groups in the English NHS, Next steps towards primary care co-commissioning, Understanding primary care co-commissioning: uptake, scope of activity and process of change, Delivering the forward view: NHS planning guidance 2016/17–2020/21, NHS operational planning and contracting guidance 2017–19, Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution, Primary care co-commissioning: a survey of members’ views of their CCG and its role in primary care, Managing conflicts of interest in NHS clinical commissioning groups, Co-commissioning conflicts of interest audit: summary report, SAFER diagnosis: a teaching system to help reduce diagnostic errors in primary care, An Australian reflects on the Collings report 70 years on. 11th July 2018 @ 12:00 pm - 1:30 pm Chronic kidney disease, 3. BJGP Top 10 research: 1. GP home visits: essential patient care or disposable relic? 2019/20 meetings 24 April 2019 Primary Care Co-Commissioning Committee meeting, 24 April 2019, 1.00 – 5.00pm Falsgrave Community Centre, Seamer Road, Scarborough, YO12 4DJ Agenda Minutes of last meeting 27 February 2019 NHSE Report Primary Care Quality Improvement Framework CQC Annual Regulated Reviews APEX Insight workforce modelling tool Vale of York, Scarborough and … Primary Care Co Commissioning Committee Meeting. Second, guidance suggests that CCGs will be responsible for liaising with the Care Quality Commission (CQC) about issues relating to practice performance, but will not be responsible for issues relating to individual GP performance, which remains with NHSE. The policy intention is for all CCGs to ultimately take on delegated responsibility. 30 Euston Square It facilitates NHS England working with a CCG on the local commissioning of primary care services. The scope of co-commissioning in 2015–2016 covers only general practice services, including: managing practice contracts; commissioning enhanced services and local incentives; establishing new GP practices; and approving practice mergers. Health Policy, Politics and Organisation Research Group (HiPPO), Centre for Primary Care, University of Manchester, Manchester. However, in April 2015 a large proportion (87 of 209 CCGs) opted for joint commissioning, due to uncertainty over what co-commissioning would involve. For example, CQC inspections may flag up problems with individual GPs. These proposals were expanded upon in 'Next steps towards primary care co-commissioning' (NHS England: November 2014). The joint committee will meet in public on the following dates: The joint committee will also meet in common with those of the other North West London CCGs on the following dates: Any changes to the meetings schedule will be posted up on this page. Primary Care Commissioning Committee Ealing CCG used to form part of a joint committee with NHS England for the co-commissioning of local primary medical care services, as announced here . primary care. When primary care co-commissioning was introduced, it was argued that robust governance processes and decision-making transparency would alleviate CoIs.4 Two years on, concern over CoIs remains.10 There is little publicly available information on CCGs’ arrangement to manage conflicts, and NHSE has little data about how effectively they are doing this, relying on an exception-based assurance process and on Monitor as the system regulator.11 This raises questions about both transparency and local accountability. Clinical leadership is already somewhat eroded by the fact that GP members do not form a majority on decision-making PCCCs. When Simon Stevens took over as the Chief Executive of NHSE (April 2014), he advocated transferring responsibility for commissioning primary care services from NHSE to CCGs. The T as approved at the NL C w ouncil of Membersmeeting on 22. nd Although the 44 STP ‘footprints’, with leaders agreed by NHSE, are not statutory bodies and do not replace existing local bodies or change accountabilities, the importance of STPs as a vehicle for change is reflected in this year’s operational guidance,8 in which they form a key element. © British Journal of General Practice 2018. There is considerable variability in the processes used by CCGs to manage CoIs, ranging from minute taking and updating declarations of interest to no clearly defined process to manage breaches.12 However, with most CCGs claiming that their concerns centre on the perception rather than actual conflicts,6 having guidance that attempts to cover every eventuality risks making the process a tickboxing exercise. The Next Steps toward Primary Care Co-commissioning (NHS England, 2014d) document, published in November 2014 and developed jointly by Gs and NHSEs Programme Oversight Group in partnership with NHS Clinical Commissioners, aims to provide clarity and transparency around co-commissioning options (Doyle, Dodge, Ellul, & Simon, 2014). The English Health and Social Care Act 2012 gave GP-led clinical commissioning groups (CCGs) responsibility for commissioning the majority of healthcare services for their registered population. More information can be found on the Primary Care Co Commissioning Committee Meetings page. Primary Care Commissioning Committee Primary care co-commissioning. This slidepack presents the key findings from a survey of GPs in six clinical commissioning groups. Co-commissioning is intended to support the development of integrated out-of-hospital services based around local needs. The views expressed here are those of the researchers and do not reflect the position of the Department of Health. Co-commissioning is intended to support the development of integrated out-of-hospital services based around local needs. Primary Care Co-commissioning. As of 1 April 2017 Central London CCG is now fully responsible for for the management of its primary care medical services, and the joint committee is no … Email: journal@rcgp.org.uk, British Journal of General Practice is an editorially-independent publication of the Royal College of General Practitioners CCGs and NHSE working together in this way to plan and deliver primary care services is called ‘co-commissioning ‘. The Department of Health outlined four aims of … 1 Primary care co-commissioning: challenges faced by clinical commissioning groups in England. move to co-commissioning of primary care with Clinical Commissioning Groups (CCGs) is a key opportunity. There are three possible levels of responsibility: greater involvement — CCGs have ‘influence’ in shaping primary care; joint commissioning — CCGs share responsibility with NHSE regional teams; and delegated authority — CCGs lead primary care co-commissioning. About primary care co-commissioning Giving clinical commissioning groups (CCGs) an opportunity to take on greater responsibility for general practice commissioning. One year on (April 2016), 115 of 209 CCGs (55%) have delegated responsibility, 68 (32.5%) joint commissioning, and 26 (12%) greater involvement. The criteria and requirements for CCG mergers have also been updated to include the need to align CCG ‘footprints’ to support STP delivery.9 In practice, STPs have been criticised for their lack of GP involvement. This will allow the local development of Sustainability and Transformation Partnerships (STPs). Primary Care Co-Commissioning Committee - Public (Part A) thTuesday 14 May 2019, 1.00pm - 3:00pm Assembly Room, Birkenhead Town Hall AGENDA Item Item Lead Action Attachments 1. This collection of Top 10 research most read and published in 2020 brings together high-profile primary care research and clinical innovation. This slidepack presents the key findings from a survey of GPs in six clinical commissioning groups (CCGs). Third, as GP federations and super-partnerships become more common it would make sense for GPs who have an appetite for lead roles to focus their efforts as providers of services rather than as commissioners. Objectives Since April 2015, Clinical Commissioning Groups (CCGs) have taken on the responsibility to commission primary care services. Thank you for recommending British Journal of General Practice. One of the biggest concerns underpinning the original decision to give responsibility for primary care commissioning to NHSE was CoIs.1 However, in practice the need for policy ‘workarounds’ to solve the fragmentation introduced into the system by the Health and Social Care Act 2012 outweighed this concern. Our case studies show how CCGs are using delegated commissioning to improve care. Experts in primary care. Performance managing their own members is challenging for CCGs, who have tried to make this more palatable by shifting the discourse away from ‘performance management’ to ‘peer-learning’ or ‘peer support‘. Let us know if this is OK. We’ll use a cookie to save your choice. Tel: +44 (0)20 3188 7679 Resources for CCGs with joint arrangements, as well as CCGs with, or applying for, full delegation. However, the timescales to influence the arrangements being developed for 2015/16 are tight. What are the challenges associated with primary care co-commissioning in the context of these changes? © 2021 British Journal of General Practice, Print ISSN: 0960-1643 View the revised statutory guidance on managing conflicts and a series of case studies and summary guidance for different professional groups. Our advice for clinicians on the coronavirus is here. We do not capture any email address. As of 1 April 2017 Hammersmith and Fulham CCG is now fully responsible for for the management of its primary care medical services, and the joint committee is no longer in place. Gut feelings, 2. Paramedics in primary care, 4. As these changes unfold, CCGs as membership organisations need to ensure that they bring their membership with them to maintain the clinical voice and local understanding. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. The next Primary Care Co-Commissioning Joint Committee meeting in public would be held at 3.00pm on 14 May 2019 in the Boardroom, Francis Crick House. As membership organisations CCGs are accountable to their members; members can vote to have CCG Board Primary care co-commissioning. In 2015, Tower Hamlets CCG took on formal commissioning responsibilities for GP services in Tower Hamlets. Our advice for clinicians on the coronavirus is here, CCGs with joint and delegated arrangements. To ensure transparency and avoid conflicts of interest (CoIs), PCCCs are chaired by a lay member and have a lay/executive majority.4. 1.1 Primary Care Commissioning Committee received an update on the Primary Care Network (PCN) DES Specification at the meeting held in August 2020. Giving clinical commissioning groups (CCGs) an opportunity to take on greater responsibility for general practice commissioning. Find out about this year’s process for CCGs who would like to apply for delegated commissioning. We use this information to improve our site. You can read more about our cookies before you choose. The Primary Care Commissioning Committee meets in public as indicated below. Under delegated responsibility, CCGs must set up a Primary Care Commissioning Committee (PCCC) as a sub-committee of their governing body (GB). We are grateful to our participants, who were very generous in allowing us access to their organisations at a time of considerable turmoil and change. All GP practices in England are members of a CCG (this is a statutory requirement). Primary Care Co-Commissioning Committee. Freely submitted; externally peer reviewed. Primary care co-commissioning Hammersmith and Fulham CCG used to form part of a joint committee with NHS England for the co-commissioning of local primary medical care services, as announced here . If you are a member of the public looking for information and advice about coronavirus (COVID-19), including information about the COVID-19 vaccine, go to the NHS website. These send information about how our site is used to a service called Google Analytics. Cambridgeshire and Peterborough CCG Primary Care Commissioning Committee commissions primary medical (GP) services for the people of Cambridgeshire and Peterborough. Co-commissioning is when two or more commissioners come together to authorise healthcare services. STPs may require changes to the way general practice is delivered, and buy- in will be difficult to achieve if GPs have not been included in the discussions. From 1 April 2017 Cambridgeshire and Peterborough CCG took on delegated commissioning responsibility for primary medical (GP) services. The NHS Five Year Forward View (FYFV) called for ‘new care models’ (NCMs) that envisage local commissioners and providers working together to break down the boundaries between primary, community, and secondary care.5 Co-commissioning is seen as a ‘key enabler’ to drive the development of NCMs. Congratulations to Top 10 authors and all BJGP contributors in 2020! All members of the press and public are welcome to observe the meeting. We have since established a Primary Care Co-Commissioning Committee, which oversees local decisions on GP contractual issues. Management Board and then with Primary Care Co-Commissioning Committees before it can be considered confirmed. Change my preferences It is intended that CCGs will take a more integrated approach to commissioning,4 which will enable a shift of resources between sectors and facilitate the development of integrated organisations delivering NCMs. List of CCGs currently implementing the joint co-commissioning and delegated commissioning arrangements. This is seen as a step towards ‘place-based commissioning’,6 which in turn will support planning by place for local populations. Here you will find details and papers for our primary care commissioning meetings. NHS Central London CCG used to form part of a joint committee with NHS England for the co-commissioning of local primary medical care services, as announced here. Primary Care Commissioning Committee. 2. Primary care co-commissioning . It is one of a series of changes set out in the NHS Five Year Forward View to transform the way primary and community care services are provided for local people. Meetings are held in public every two months. WHAT IS PRIMARY CARE CO-COMMISSIONING? NHS England and NHS Nene CCG joint commissioning committee (the Joint Committee) has the primary purpose of commissioning primary medical services for the people of Northamptonshire. Primary care co-commissioning. Sam Senior Lay Member for Primary Care Co-Commissioning Governing Body Member N/A Lay Advisor Health Education England (West Midlands) Financial Interests Direct 01/05/2016 Ongoing Declare any potential or perceived conflict of interest at relevant meetings/ workshops Sam Senior Lay Member for Primary Care Co-Commissioning PCC is an independent, not-for-profit social enterprise that supports the development of health and care services; providing specialist advice with a focus on primary care, events, flexible expert support, and personal and team development services. Online ISSN: 1478-5242. Completed project The evolution of clinical commissioning: learning from local experience. Primary Care Committee agenda and papers - 14 January 2021. 1.2 The purpose of this paper is to update the Primary Care Commissioning Committee on the implementation of the scheme and highlight some key areas of note. RCGP This may require resource and/ or cost implication assessments, and the ownership for any impact of these would need to be discussed as part of the agreement discussions. PRIMARY CARE CO-COMMISSIONING TA KE C Know your rights. North & South Essex Local Medical Committees Limited Registered Office: Unit 5, Whitelands, Terling Road, Hatfield Peverel, CM3 2AG Registered as a Company Limited by Guarantee in England and Wales - Registered Number 06398483 2 . The study was funded by the Department of Health via its Policy Research Programme. 'http':'https';if(!d.getElementById(id)){js=d.createElement(s);js.id=id;js.src=p+"://platform.twitter.com/widgets.js";fjs.parentNode.insertBefore(js,fjs);}}(document,"script","twitter-wjs"); BJGP Journal Office STPs were first introduced in the 2016–2017 NHS planning guidance,7 being likened to a ‘route map’ representing different ways of working, bringing together health and care commissioners and providers. Primary Care Committee agenda and papers - 5 November 2020. Leadership development. We are also grateful to Dr Lynsey Warwick-Giles, Dr Donna Bramwell, and Dr Valerie Moran, who are involved with the project. This means that significant decisions affecting local practices may be made that GBs cannot overturn. The Chair moved to request the Committee pass a resolution to move into private session to consider private items Apply for delegated commissioning 1.2 Operating model processes for individual committees We’d also like to use analytics cookies. The aim of this paper is to analyse how CCGs have responded to this new responsibility and to identify challenges and factors that facilitated or inhibited achievement of integrated care systems. We’ve put some small files called cookies on your device to make our site work. Publications - Primary Care Co-commissioning Primary Care Committee agenda and papers – 19 November 2015 Primary Care Committee agenda and papers – 2 May 2019 The survey explored members' views of their CCG and its role in primary care. Enter multiple addresses on separate lines or separate them with commas. Why Co-commissioning? In order to deliver delegated commissioning across the East of Berkshire, the CCG has set up a committee who will be responsible for the commissioning of GP services and for the delivery of the local primary care strategy. CCGs and NHSE working together in this way to plan and deliver primary care services is called ‘co-commissioning‘. The study formed part of the programme of the Policy Research Unit in Commissioning and the Healthcare System. The policy intention underlying the transfer of responsibility for primary care commissioning to CCGs was to allow more integrated commissioning, with the ability to shift resources around the system. COVID-19 and older adults, 5. PCC | Website. Preliminary Business 1.1 Apologies for Absence Chair For … However, responsibility for commissioning primary care services was given to a new national body, NHS England (NHSE),1 to avoid conflicts of interest1 and because of a perceived need for a standardised and consistent approach to commissioning.2 It soon became apparent that NHSE was struggling to move beyond a transactional approach to commissioning, focused on payments and contract management. Unlike other sub-committees, which make recommendations to the GB,3 PCCCs have decision-making authority. I'm OK with analytics cookies. It excludes individual GP performance management. CCGs are constituted as ‘membership organisations’, with every practice required to be a member. Primary Care is at the heart of our communities and over 80% of all health care activity takes place in GP practices. So I wanted to flag briefly the latest information and opportunities. Primary Care Co-Commissioning Joint Committee.
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