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“2020health is an important and thoughtful contributor to the health debate”

Dr Sarah Wollaston MP, Chairman, Health Select Committee

 
 

How is the NHS fairing in the hands of GPs - Are CCGs feeling the power?

Mar 18. till Mar 18.

Invitation Only Event

Hosted by: Dr Phillip Lee MP

With guest speakers:
Dr Howard Stoate, Chair, NHS Bexley Clinical Commissioning Group and Former MP
Dr Shikha Pitalia, Director, SSP and Chair, United League Commissioning

Date
March 18, 20142014-03-18T04:00:40 - March 18, 2014 2014-03-18T05:00:06
Time
4:00 PM 2014-03-18T04:00:40 - 5:00 PM 2014-03-18T05:00:06
Location
Portcullis House, Westminster

Brief:

“GPs need an extra £40 per patient to fund 7-day opening”
“NHS England cuts funding for GP’s occupational health”
“CCGs left struggling to cope with budgetary uncertainty”

Since the 1st of April 2013 newly formed CCGs have taken on much of the budget, the responsibilities and in theory the powers for governing local healthcare. The premise is that with clinicians making decisions on commissioning, efficiency will increase as funds will be used more effectively to deliver higher standards of care.

Under the new commissioning arrangements or 2013-14, NHS England has had a budget of £95.6 billion to deliver services. Some of this money is allocated to local authorities for public health measures, while NHS England allocates most of the remaining money to CCGs1 to purchase services. The remaining £25.4 billion of the 2013-142 budget has been allocated for NHS England’s commissioning of specialised healthcare, primary care and military and offender services.

However, the definition of what constitutes specialised healthcare have changed; allocation formulas have been disputed; running costs will drop by another 10% next year and £1.9Bn has been top-sliced for integrated care from 2015 which will remove an average £10m from each CCG’s budget. GPs are being asked to open 7 days a week and the percentage of the overall NHS budget allocated to them has fallen by 7% in the past three years. Given all of the above, it is now timely to review how CCGs are now feeling.

Questions for discussion:

• How successful have CCGs been in their first year of allocating resources?
• What new pressures are CCGs under to meet their objectives?
• Are the audits and regulation frameworks enough to protect the public from the turbulence of CCG shortfalls?
• As integrated budgets begin, what controls will GPs have over expenditure, and will there be a period of double expenditure (e.g. before reduced admission are achieved?)
• What more authority do CCG’s need?

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