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We will expect the NCB to be robust in assessing our fitness to operate as a statutory body. This may well mean that many CCGs will start out with conditions. If these conditions are framed in a SMART format then they will be helpful indicators as to how we can improve our performance. As Dr. Marshall says, clarity about how we discharge the conditions is critical.

The way in which conditions are applied and discharge is another test of whether the CCG-NCB relationship will be one of support or of performance management.