CCGs with delegated authority for commissioning services from general practice could soon find that out-of-date and inconsistent contracts are getting in the way of progress. Primary care contracts were subject to a “stabilisation and shift” exercise in the run-up to the introduction of the Health and Social Care Act 2012, but much of this work was never done and some CCGs stand to inherit the half-finished work of predecessor organisations. If contracts are wrong CCGs will be storing up operational difficulties and could have their strategic decisions undermined. PCC is offering a “health check” for legacy contracts for CCGs who have already been granted or are working towards delegated authority.
We can identify where contracts are at risk, identify what needs to be done and provide support to make the necessary changes, liaising with local contract holders and other stakeholders as required.
When East Staffordshire Commissioning Group awarded a £280m contract for care of people with long term conditions to Virgin Healthcare, it was determined to listen to the people who will use the service.
The 64 CCGs with delegated authority for commissioning primary medical services need to understand the make-up of primary care commissioning committees, their role in the decision making process, the likely impact on local strategic plans and the regulatory and contractual context for the decisions they are now facing. PCC runs development sessions for primary care commissioning committee members and new commissioning teams that provide an appropriate level of technical information punctuated with real scenarios to consider as a working committee.
High levels of clinical engagement and clinical leadership are driving forward the developing new care models – much to the delight of the NHS England team responsible for supporting the ‘Vanguard’ communities.