FINANCE: The primary care trust, NHS Cumbria, has delegated control of over £600m of its £900m budget for 2012-13 to Cumbria’s clinical commissioning group.

An accountability agreement between NHS Cumbria and the CCG states that the PCT has delegated around £676m of its £893m budget for the year to the clinical commissioners – the entire portion that will be transferred to it after the abolition of PCTs.

The PCT’s performance framework has been changed to provide for regular performance reporting by and management of all the CCG’s six “locality” groups, and a “peer review process by the GP-leads on a quarterly basis”.

The agreement stated that the peer reviews would focus “on identifying and sharing good practice as well as improving poor performance”.