STRUCTURE: Medway Clinical Commissioning Group has been authorised by the NHS Commissioning Board – but with 24 conditions and one direction.

The board has authorised the second wave of clinical commissioning groups that will take over commissioning from primary care trusts in April.

It has authorised 67 further CCGs, taking total to 101. The first 34 CCGs were authorised in December.

Medway CCG has been given 24 conditions and one direction for its authorisation, meaning it will continue to receive support in a large number of areas. The criteria not yet satisfied are:

  • 2.2B: Systems and processes for monitoring and acting on patient feedback, and particularly in identifying quality including safety issues. (support level required: III)
  • 2.4.1B: Systems in place to convert insights about patient choice/s in practice consultations into plans and decision-making. (support level required: II)
  • 2.4.2B: Arrangements for handling concerns and complaints raised with the CCG, and actions taken as a result, are clearly communicated to the public. (support level required: I)
  • 2.4.2C: Clear line of accountability for patient safety including regular reporting to the National Reporting and Learning System. (support level required: II)
  • 3.1.1B CCG has a clear and credible integrated plan, which includes an operating plan for 2012-13, draft commissioning intentions for 2013-14 and a high-level strategic plan until 2014-15. (support level required: III)
  • 3.1.1C CCG has detailed financial plan that delivers financial balance, sets out how it will manage within its management allowance, and any other requirements set by the NHSCB and is integrated with the commissioning plan. (support level required: IV)
  • 3.1.1D: QIPP is integrated within all plans. Clear explanation of any changes to existing QIPP plans. (support level required: III)
  • 3.1.1E: CCG plan supports delivery of JHWS and integrated commissioning, depending on local timeframe. (support level required: II)
  • 3.1.2B: Plans clearly demonstrate where and how the CCG is working with other CCGs to meet QIPP, and can demonstrate that stakeholders are aware of and understand CCG priorities. (support level required: III)
  • 3.1.4B: Where the area covered by the CCG is not on track to meet the plan for 2012-13, there is a clear and time-limited resolution path to recover. (support level required: IV)
  • 3.3G: CCG has arrangements in place to collaborate with neighbouring CCGs in areas such as lead commissioning where there is more than one CCG contracting with a provider. (support level required: III)
  • 4.2.1B: Systems and processes for monitoring and acting on patient feedback, and particularly identifying early quality issues including safety. (support level required: III)
  • 4.2.1A: Governance arrangements in place to identify and manage different types of risk, including key risks to delivery of QIPP. (support level required: III)
  • 4.2.1F: Arrangements in place to deal with and learn from serious untoward incidents and never events. (support level required: III)
  • 4.2.1G: CCG has the following standard financial management arrangements in place (support level required: III)
  • 4.2.1H: Clear governance structures and programme management capacity and capabilities in place to support the delivery of QIPP. (support level required: III)
  • 4.2.3C: Health inequalities issues identified and addressed in integrated plan. (support level required: II)
  • 4.2.3D: CCG has established appropriate systems for safeguarding. (support level required: III)
  • 5.1A: CCG has written agreements in place detailing the scope of the collaboration with other CCGs, with clear lines of accountability and decision-making processes. (support level required: III)
  • 5.1B: Mechanisms in place for CCG to collaborate with others where patient flow or provider configuration necessitates this. (support level required: III)
  • 5.3B: Clear line of accountability for safeguarding is reflected in CCG governance arrangements, and CCG has arrangements in place to co-operate with the local authority in the operation of the Local Safeguarding Children Board and the Safeguarding Adults Board. (support level required: III)
  • 5.4B: SLA agreed with support provider assured through BDU business planning process. (support level required: II)
  • 6.4B: Appointment process and composition of governing body reflects nationally determined role outlines, attributes and competencies and draws on good practice. (support level required: III)
  • 6.4G: Senior in-house management roles in CCG provide adequate capacity and capability to maintain strategic oversight with available resources. (support level required: III)