STRUCTURE: NHS North Staffordshire has developed details of the structure, roles and operation of its shadow commissioning consortium.

The primary care trust’s board was told clinical leaders had met twice a week to develop “proposals for the structure, roles and operation” of a shadow consortium.

Board papers said: “There is now a clear proposal for the structure of the GPC [GP consortium] board, board member roles, remuneration and the scope of responsibilities the GPC would wish to undertake on a delegated basis from the PCT board.”

The remit of the shadow consortium board includes being “responsible and accountable for commissioning the majority of NHS services excluding specialist commissioning”, and accountability for “delivering financial balance and all related national and local targets for the delegated indicative budgets”.

Commissioning work streams have been identified as: planned care, non elective care, practice development, performance and education, transforming community services and mental health and specialist groups.

Board papers said the next steps of development were to appoint members to the consortium shadow board and then undertake an “intense programme of induction and initial organisational and leadership development”.

This would include the development of a detailed governance and accountability framework between the PCT board and consortium committee to enable “appropriate delegation and risk management”.


North Staffs Shadow Consortium Board Membership and Roles

RoleCommitment /wk 
GP Executive Chair   3 days 
GP Planned Care Lead2 days 
GP Non-elective Care Lead2 days 
GP TCS Lead2 days 
GP Mental Health & Specialist groups Lead 2 days 
GP Practice Development, Performance, Education Lead2 days 
Non GP clinicianTBC 
Executive - Director of Commissioning5 days 
Executive – Director of Finance5 days 
Non-Executive1.5 day per month 
Local Authority Lead1 meeting per month 


The PCT’s board had previously agreed its strategic approach on NHS reform should be to “move promptly to implement the future where the future is clear”.