STRUCTURE: The three emerging clinical commissioning groups within Redcar and Cleveland and Middlesbrough PCTs have merged into one.

Middlesbrough was previously a single CCG and there were two - Eston and Langbaurgh - in Redcar and Cleveland. A board paper says CCG GP leads across Tees -which also includes Hartlepool and Stockton-on-Tees PCTs - looked at three options.

They were: Four individual CCGs, co-terminous with each local authority; one CCG across the whole of Tees, with localities co-terminous with each local authority; and two CCGs for Tees (one north - covering Hartlepool and Stockton-on-Tees PCTs; and one south - covering Redcar and Cleveland and Middlesbrough PCTs), but again with localities co-terminous with the respective Local Authorities.

They decided on the final option of two CCGs covering the whole of Tees. The reasons given were:

  • Strong support of GPs therefore a high probability of strong clinical engagement in future commissioning;
  • Significant administrative and general running cost savings (for example single set of executive officers, one set of audit fees and fewer non-executives);
  • Stronger risk management arrangements especially for the commissioning  budget;
  • Localities within the CCGs with significant devolved decision making powers and with very clear lines of accountability to their respective HWBBs;
  • Opportunities to work collaboratively across the south of Tees on common pathways of care into and out of South Tees Hospitals NHS Foundation Trust