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So we're a little over 3 months away from the CCG big bang, and only 16% of organisations have gone through an authorisation process which even the people being authorised seem to think is inadequate to truely assess their ability to manage their local health economy. And despite these inadequacies in the process about 75% of that 16% have only got through it with conditions attached. That's going well isn't it?

Mind you, it's reassuring to see that most of the ones assessed so far have managed to find themselves "great leaders", although slightly confusing when we've been told previously that most of these organisations are headed up by much the same people that headed up the PCT's, (who I'm pretty sure were supposed to be self-serving, out of touch, fat cat bureaucrats).

Oh and Richard that option means exactly as it reads ; effectively if the CCG is judged not competent enough to make significant decisions and then they all have to be rubber stamped by the local office of the Commissioning Board.