Resources for CCGs are part of the CCG Learning Network which provides online support, resources and information for proposed clinical commissioning groups (CCGs).
Mapping the market – Commissioning support services
Mapping the market charts some of the CSU and Independent sector commissioning support market; including some of the significant changes which are already taking place as the market for CSS evolves. There is a tangible sense of momentum and improvement. It is a useful read to understand some of the products and services available to commissioners and CCGs.
Directory of CCG Development Support Offers - This directory of development support for CCGs captures a wide range of offers available and in many cases free of charge to CCGs. This is at an early stage of development and feedback on the content and format of this version would be invaluable so that it can be developed in a way that is relevant, useful and shaped in response to CCG preferenceser.
Advice on whether to Make, Share, or Buy: “Make, Share, Buy” advice is intended to guide CCGs through commissioning support strategies and decisions. The advice has been co-developed with CCGs, providers, other stakeholders and industry best practice.
Role of the Voluntary Sector in Providing Commissioning Support: NHS England recognises that high quality commissioning requires expert commissioning support which can come from a range of providers including voluntary sector organisations. A new report ‘Role of the voluntary sector in providing commissioning support’ by the Nuffield Trust in conjunction with Macmillan, ACEVO, Neurological Commissioning Support and NHS England, looks at the potential expertise they can bring to this area. The report sets out key recommendations and action points for VSOs, CCGs, CSUs and NHS England, which we hope will enable all commissioners to access excellent and affordable commissioning support.
The Health and Social Care Act sets out clear requirements of clinical commissioning groups (CCGs) to make arrangements for managing conflicts of interest and potential conflicts of interest, to ensure they do not affect or appear to affect the integrity of the CCG’s decision making processes.
The NHS Commissioning Board Authority produced a number of pieces of guidance (which were adopted by the NHS Commissioning Board (NHS CB) in October 2012) that collectively provide the approach CCGs can take to manage conflicts within the legal framework. Thesedocuments were developed with emerging CCGs, primary care organisations, SHAs, PCTs and DH colleagues.
To meet the Board’s statutory responsibility to produce guidance for CCGs (to which they must have regard) on managing conflicts of interest, we have incorporated and updated the relevant parts of existing NHS CB guidance into one consolidated piece of guidance that covers both the statutory requirements and best practice, together with templates and other supporting material. Key areas the guidance covers are:
what the statutory requirements are;
the principles for managing conflicts;
general and specific safeguards that CCGs should follow, especially when considering commissioning services for which GP practices (or companies in which GPs have an interest) could be providers; and
when to exclude individuals from meetings or decision making when a conflict arises.
NHS England has the power to direct a CCG to exercise any of its functions relating to the provision of primary medical care services. This guidance sets out the arrangements for CCGs to manage, on a transitional basis, local enhanced services for primary medical care and primary ophthalmic services that were commissioned by PCTs, and commission out-of-hours primary medical services for their area.
It also provides guidance on:
how CCGs can commission services from primary care providers,
the need for CCGs to seek agreement from area teams to make any arrangements that involve payments for improving the quality of services provided under an existing GP contract, ‘Local Improvement Schemes’ (CCGs do not have the power to make such payments in their own right).
arrangements for the Directed Enhanced Services commissioned by NHS England,
arrangements in relation to enhanced services for community pharmacy, primary ophthalmic services and dental services.
Procurement of healthcare (clinical) services: Briefings for CCGs
Working with CCGs and others, NHS England has developed procurement briefings for CCGs that summarise the key elements of legislation and guidance governing NHS procurement of healthcare services. These briefings also provide an overview of the different approaches that CCGs may adopt and outlines some of the key considerations when undertaking procurement.