Sixty-three clinical commissioning groups have taken on fully delegated responsibility of their primary care budgets despite serious concerns raised by some groups, HSJ has learned.
Health secretary Jeremy Hunt has indicated the Conservatives would meet the NHS’s funding requirements, but declined to specifically say they would increase spending by the £8bn sum identified by national officials.
The clinical commissioning groups taking on full control of GP services in their area this week will be responsible for performance managing poor practices and approving practice mergers, according to documents seen by HSJ.
The Care Quality Commission will no longer be risk rating GP practices as part of its intelligent monitoring process.
Commissioners have been left with only two weeks to finalise ?potentially complex legal arrangements for taking control of their primary care budgets.
Activity in general practice has risen in the last three complete financial years, but most of this has been for medical professionals other than GPs, research by a leading health think thank suggests.
Greater Manchester’s £6bn devolution deal has been criticised for excluding GPs from consultation about the new arrangements.
The first clinical commissioning groups to be given control of their the primary care budgets have said they will use their new powers to implement the NHS Five Year Forward View’s new models of care and scale up GP services, HSJ has learnt.
NHS England has revealed the 64 clinical commissioning groups that will take full control of their local primary care budgets from April.
The involvement of GPs is the most important and most challenging factor facing any area wanting to trial one of the new models of care detailed in the NHS Five Year Forward View, Simon Stevens has said.
Ministers across government are focusing on attempting to cut the rate of delayed transfers of care in a renewed effort to improve accident and emergency performance ahead of the general election.
GPs involved in clinical commissioning groups have doubts about whether they will be capable of taking on additional responsibility for primary care, health think tanks have warned.
Clinical commissioning groups are considering swapping GPs with their neighbouring groups to safeguard against potential conflicts of interest in commissioning primary care.
Around a third of clinical commissioning groups are bidding to take over responsibility for performance management and budgets of their member GP practices from April, HSJ can reveal.
Up to a fifth of people attending walk-in centres were diverted from an A&E, according to new research by an academic at the London School of Economics and Political Science.
A new national advisory board with a system-wide coordination role for workforce issues is to be created, the NHS planning guidance has revealed.
Plans to introduce a range of new care models into the NHS over the next parliament has split the opinion of provider chiefs and clinical commissioning group leaders
National officials will create a ‘success regime’ in which struggling areas are directed to move quickly into the new care models proposed in the NHS Five Year Forward View, Simon Stevens has revealed, while warning local leaders against attempts to ‘re-spray’ their existing plans.
The NHS England chief executive has set out nine requirements that define a ‘multispecialty community provider’, one of the key care models in his vision for the future of the NHS.
NHS England chief executive Simon Stevens will reveal his latest thinking on the future of the service in next week’s inaugural HSJ annual lecture.
More on GPs
Making the move to capitated outcomes based commissioning
Don’t fear appraisal: it can actually lead to increased skills and care quality
Making CCGs’ expanded role work
Lessons learned by Guildford and Waverley CCG
Why primary care needs to prioritise patient safety
Specialists can support and train GPs and nurses