PERFORMANCE: The Derbyshire cluster has been told it needs to be less “controlling” and should be putting more effort into developing consortia.

Feedback from NHS East Midlands to the cluster, consisting of NHS Derbyshire County and NHS Derby City, was that “a shift in mindset was required from a controlling organisation to an assurance organisation”, according to board papers.

The strategic health authority had “identified that there was a need for more rapid development of GP consortia and local authority roles”.

Cluster chief executive David Sharp told the board he believed it had “now progressed further to establish leaders in these roles and by aligning staff to GP commissioning”, the papers said.

The SHA also said at its board-to-board meeting on 1 April that there was “a need to demonstrate the ability of the cluster organisation to operate within its resource limit and deliver plans”, and “additional work was required to shape the workforce of healthcare in Derbyshire”.