Researchers at Manchester University have published the first in-depth study into how the government’s planned shake-up of the NHS next year is progressing:
Exploring the early workings of emerging Clinical Commissioning Groups [pdf].
Key findings include:
•There has been a great deal of activity and enthusiasm from leading GPs on the ground as they engage with the new structures. Most of those taking up leadership positions have acted as leaders in the past in other organisations such as Primary Care Trusts (PCTs) or Practice Based Commissioning (PBC) groups.
•The research period was one in which there was considerable flux and change on the ground, as developing CCGs settled towards their final configurations. The influence of past history was much in evidence, with many CCGs setting themselves up to mirror past administrative groupings such as Primary Care Groups, PCTs or PBC groups.
•At the time of the research, developing structures were complicated and multi-layered, as developing CCGs worked out how relationships between governance structures, operational responsibilities and grass-roots’ members would work in the longer term
•Local Health and Wellbeing Boards (HWB) are developing at different speeds across the country. Developing CCGs are engaging with their local government partners to establish new ways of working. The report highlights issues that have arisen in this process.
•Developing CCGs in the study showed considerable enthusiasm for engaging with both commissioning and contracting, working alongside PCT colleagues as they prepare to take over responsibility in April 2013. The report discusses the experiences of developing CCGs as they begin to engage with their local Commissioning Support Units.