PERFORMANCE: Derbyshire clinical commissioning groups variously lack a “coherent strategy”, show “confusion” over finances and have “low confidence” in hitting savings targets, according to the primary care trust cluster chairman.

The problems were highlighted in letters sent from the NHS Derby City and NHS Derbyshire County cluster to four CCGs following board-to-board meetings held in December. The following comments were made:

Southern Derbyshire CCG

*”We are confident that you will be authorised as a CCG because of your scale and very strong clinical engagement but we are concerned that the CCG has yet to develop a coherent strategy first to own the already mitigate legacy debt and secondly to produce a sustainable health economy in the longer term”


Hardwick CCG

*”You demonstrated well a high degree of clinical and practice engagement in your plans”

*“There appeared to be some confusion around financial figures and the tracking of QIPP successes. This is a fundamental issue for the CCG”


North Derbyshire CCG

*”Particular strengths” regarding “relationship building across key stakeholders”

*”We noted with regret your continued low confidence in delivery of your QIPP target for 2011-12”

*“We did not feel that you fully owned your financial challenge”


Erewash CCG

*”A high degree of clinical and practice engagement”

*”Clear leadership”