The Nuffied Trust first year Evaluation of the first year of the Inner North West London Integrated Care Pilot finds that there is substantial progress in terms of developing integrated care in terms of developing new forms of care for older people and those with diabetes. There remains a need to:
- Review governance to develop a locality-based model in response to the development of Clinical Commissioning Group.
- There is a need for improved quality of care planning ensuring that patients are involved and engaged.
- Performance of multidisciplinary groups formed as part of the pilot have been successful enhancing communication and collaboration among professionals.
- There is widespread frustration felt with progress in developing a user-friendly tool for recording care planning that also has all the functionality that partners would wish to see. Shared data and IT is an area requiring work.
- Increased efforts to engage and involve patients in the pilot, representatives from the Patients and Users Committee have been appointed full members of the Integrated Management Board and its committees, and have contributed to the development of the Inner North West London Integrated Care Pilot’s policies and processes.
The NHS Commissiong Board has produced information packs for each local authority and CCG area in England.The Local Authority packs present high level comparative information on the NHS, the Adult Social Care and the Public Health Frameworks. The CCG level packs provide a more detailed analysis of NHS outcomes and other relevant indicators. They offer, the Board says, a ‘quick and easy-to-use summary of [the] current position on outcomes’
The first wave of CCGs have been authorised. See the story on the Commissioning Board site,
First GP groups given green light to take control of NHS budgets, and on the Guardian’s, complete with the Guardian’s inimitable commenters: First GP-led clinical commissioning groups approved
There’s a useful article in Pulse [registration required] by Ross Clark on the implications of different models of CCG organisation.
After a courteous and appropriately geological welcome from Dorset CCG, and under the chairmanship of Chris Ham, the first plenary at the NHS Alliance's 2012 conference saw Dr Michael Dixon, Chair of the Alliance, deliver an exciting and challenging statement of where we are now and where we need to be. We have won a fifteen-year campaign for clinical commissioning, which will happen from April 2013, he said, but the forces of reaction and centralism will not give up power without a fight. What we need now is less a National Health Service, more a National Health System or a National Health Partnership.
Dame Barbara Hakin of the NHS Commissioning Board gave a tour d'horizon of the present situation. CCGs were reporting back that authorisation has been a helpful exercise. We are now ninety working days away from the new system
For detailed accounts, we and others are tweeting at the hashtag #NHSAlliance2012. Follow it for minute by minute updates.
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.