STRUCTURE: GPs in Barnsley and the South Yorkshire PCT cluster have not yet reached agreement about the structure of clinical commissioning groups in Barnsley.

The other three CCGs within the cluster - which match their primary care trust areas - have been created as sub-committees of their PCT, so they can be delegated budgets.

But during the past year there has been disagreement in Barnsley about whether there should be one CCG, covering the whole PCT area, or two. The Barnsley People’s First group of GPs wants to continue as a CCG.

A cluster board paper says: “It has not proved possible to reach agreement about the CCG arrangements for Barnsley. As a consequence, the [cluster] board will need to retain direct responsibility for commissioning non-specialist health services for Barnsley patients, until such time as CCG arrangements can be agreed.”

Instead of delegating to a committee reflecting an emerging CCG, some responsibility will be delegated to the Barnsley chief operating officer and chief finance officer, who will be advised by “an interim Barnsley Commissioning Advisory Committee”. The committee includes GPs.