• Three CCGs partially taken out of legal directions
  • CCGs’ governance and leadership judged to have improved
  • They remain under direction for finance
  • Adam Doyle now heads all eight CCGs in STP

Three clinical commissioning groups have been released from legal directions relating to the quality of their leadership after a major management shake-up.

Crawley CCG, Horsham and Mid Sussex CCG, and East Surrey CCG are now all part of the Central Sussex and East Surrey Commissioning Alliance (CSESCA) and share an accountable officer. They remain in legal directions relating to their financial performance.

East Surrey – which joined the alliance in April this year – was put under legal directions in 2015. However, directions were only applied to the other two trusts at the end of 2017, shortly before the commissioning alliance was set up and started working under a single management structure.

HSJ reported two weeks ago that governance reviews for the Crawley and Horsham CCGs were critical of their “lack of grip”. However, NHS England has praised them for significant improvements around governance, capacity and capability.

Adam Doyle is now the accountable officer for all five CSESCA CCGs plus Coastal West Sussex CCG, Eastbourne, Hailsham and Seaford CCG, and Hastings and Rother CCG – meaning all eight CCGs in the Sussex and East Surrey Sustainability and Transformation Partnership share a single accountable officer. The other two CCGs in the CSESCA are High Weald Lewes Havens and Brighton and Hove.

Mr Doyle said: “We have made significant progress over the last 10 months and, as we look to work [more closely] with all CCGs across Sussex and East Surrey, we now have the opportunity to look at how we can commission even more effectively for our populations.

“We still have a way to go to get to where we want to be, particularly around our finances, and we will continue to work hard to ensure we fulfil our commitment to getting our organisations into a more financially sustainable position. However, the lifting of these directions is a significant achievement.”

Felicity Cox, NHS England director of commissioning operations for Kent, Surrey, and Sussex, said: “We recognise the significant progress that all the CCGs have made in improving and strengthening leadership, governance and the grip that has been achieved.

“There is still the need for significant progress around the financial recovery of the organisations and we are continuing to work with them to achieve this.”