HSJ has updated its comprehensive interactive map of the reformed NHS commissioning system, showing critical details about the new organisations.
At least 10 primary care trusts would face finishing 2012-13 in the red without loans or bailouts from their neighbouring commissioners, HSJ research has found.
The NHS Information Centre for health and social care is increasing its capacity to store and manage data in the expectation that commissioning support units will be prevented from holding sensitive information about patients.
Plans to “externalise” commissioning support units should be given a lower priority over the next two to three years than establishing a market in support services, HSJ has been told.
Clinical commissioning groups have received a strengthened commitment from ministers to ensure their autonomy, and new powers to rate the performance of the NHS Commissioning Board.
The NHS Commissioning Board will have the ability to force clinical commissioning groups to work with centrally appointed groups of doctors on reconfiguration programmes.
The growing pressure for general practice to meet rising NHS demand rests on a slow but steady path of improvement
The budget for specialised commissioning will increase by more than 40 per cent, in a move which will centralise responsibility for many services.
Primary care trust leaders are overwhelmingly confident about the progress being made towards setting up the new NHS structure, internal reports obtained by HSJ reveal. However, many areas are experiencing difficulties establishing the local operations of the NHS Commissioning Board.
Less than a quarter of the clinical commissioning groups created under the government’s NHS reforms will have GPs as their accountable officers, an HSJ investigation has found.
Early feedback from the clinical commissioning group authorisation process has highlighted planning, complaints and collaboration as some of the most difficult issues.
There will be huge variation between clinical commissioning groups’ internal staff numbers and their reliance on independent support services, according to the first analysis of the structure of the new groups.
The government is facing a joint Labour-Liberal Democrat challenge to Health Act regulations which impose restrictions on the membership of clinical commissioning group governing bodies.
Clinical commissioning groups will be authorised a month later than previously planned, the NHS Commissioning Board has announced.
GP and clinical commissioner representatives have given a cautious welcome to the new health secretary, urging him to maintain commitment to local autonomy.
Foundation trusts expect clinical commissioning groups to oversee an unprecedented reduction in activity in 2013-14, Monitor has revealed.
Emergent clinical commissioning groups have been unable to prevent GP referrals hitting a new high, contradicting repeated claims by the health secretary that they were already reducing demand for secondary care, HSJ analysis has found.
The NHS Cooperation and Competition Panel has begun a probe of the competition implications of providers operating systems to manage patient referrals.
The NHS Commissioning Board has revealed the future market in commissioning support services is likely to be heavily regulated, potentially including restrictions on firms making a dividend.
The authorisation of clinical commissioning groups will be an “iterative process” – with organisations able to correct their weaknesses throughout the process – government regulations have confirmed.
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