• CCGs’ admin allowances recalculated
  • Review of Cornwall consultant with Cameron link

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1.23pm: The admin allocance for clinical commissioning groups has been reviewed in light of a recalculation of population estimates. For some CCGs it will mean a signfiicant drop of funds. This has irritated some CCGs, which say they have already employed management staff according to their allowance. Some have reported a drop of around £500,000 - a substantial amount. Many will see an increase, and overall the move means an increase in management funds of about £10m. The NHS Commissioning Board has just published the news in its newsletter for CCGs.

9.52am Figures published by the Department of Health this morning show GP referrals made continue to rise up by 3 per cent year to date on the same period in 2011-12. Elective activity is up by 2.3 per cent while first outpatient attendances have increased by 1.9 per cent.

9.09am: Some interesting comments from readers on our story revealing that clinical commissioning group leaders have a signficant preference for integration, over competition.

Outgoing primary care trust cluster chief executive Ed Macalister-Smith says: “Throughout my career of 25+ years, I have always worked with independent sector providers, and have used competition and tendering to drive improvement. I would never have wanted to be without these important tools, whether as a commissioner or as a provider.

“But I am absolutely clear that the current requirement (and if this is an “unjustified concern” then NCB need to explain it to CCGs pdq) to compete services and to develop AQP to a set centralised model is a massive waste and a distraction, most of the time for most commissioners. The waste is of time, of transaction cost, of distraction of focus, and of opportunity to drive improvement through vision and values rather than through contracts.”

And hospital trust chief executive Glen Burley says: “It is really quite encouraging to see how much CCG leaders value integration and using long-term relationships with providers to get the best out of the system. Interestingly many successful private sector organisations do just that! Lets hope that the system rules dont force them to waste prescious time and prescious money constantly re-procuring the answer that they came up with in the first place. “

9.01am: We have published an HSJ Local story covering Royal Cornwall Hospitals Trust’s move to launch a review of the care provided to women by the consultant who delivered prime minister David Cameron’s baby.