Clinical commissioning groups: Supporting improvement in general practice? – The King’s Fund and the Nuffield Trust – 22 July 2013

Posted on July 24, 2013. Filed under: General Practice | Tags: , |

Clinical commissioning groups: Supporting improvement in general practice? – The King’s Fund and the Nuffield Trust – 22 July 2013

“Introduction

Clinical commissioning groups (CCGs) are one of the main components of the government’s reforms to the health and social care system. In April 2013, these newly established, clinically led organisations replaced primary care trusts as the commissioners of most services funded by the National Health Service (NHS) in England, and now control around two-thirds of the NHS budget. All general practices in England are now legally obliged to be a member of a CCG. The intention is to encourage clinicians to play a greater role in deciding how funds are spent in order to shape services to meet local needs.

CCGs have two important, but distinct, roles: they are responsible for commissioning secondary and community care services for their local populations; and they have a legal duty to support quality improvement in general practice. This second role has received less attention to date, but is vitally important if CCGs are to achieve their wider objectives and deliver more integrated forms of care. It will, however, be a challenging role for them to fulfil, particularly as general practitioner (GP) services are commissioned by NHS England.

About this research

The King’s Fund and the Nuffield Trust are working together over a three-year period to assess the implementation and impact of CCGs. We are examining clinical commissioning in six case study sites between 2012 and 2015, focusing on:
. the nature of relationships being built inside CCGs, particularly the interface with member practices and the extent of GP involvement in CCG activities
. the role of CCGs in supporting quality improvement in general practice
. the structures and processes through which these relationships and improvement activities are conducted.”

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