STRUCTURE: NHS Dartford Gravesham and Swanley Clinical Commissioning Group has been authorised by the NHS Commissioning Board – but with 22 conditions.

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.

Dartford Gravesham and Swanley CCG has been given 22 conditions for its authorisation, meaning it will continue to receive support in a large number of areas. The criteria not yet satisfied are:

  • 1.1D: CCG members recognise local quality priority areas identified in CCG plans. (support level required: II)
  • 1.4.2B: Positive feedback from LINks/local HealthWatch and other patient groups. (support level required: II)
  • 2.2B: Systems and processes for monitoring and acting on patient feedback, and particularly in identifying quality including safety issues. (support level required: II)
  • 2.4.2A: Arrangements for handling complaints raised with the CCG are compliant with the statutory framework for complaints handling. Arrangements for handling concerns raised with the CCG deliver equivalent outcomes. (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: III)
  • 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: 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: 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)
  • 4.2.1F: Arrangements in place to deal with and learn from serious untoward incidents and never events. (support level required: II)
  • 4.2.3A: At least one identified individual or committee is formally responsible for ensuring the CCG has regard to the need to reduce health inequalities in access to, and the outcomes from healthcare. (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)
  • 4.2.3E: CCG plans to train staff in recognising and reporting safeguarding issues. (support level required: II)
  • 4.3.1C: CCG can demonstrate how its proposed staff resource and any contracted commissioning support will provide capacity and capability to deliver its full range of responsibilities. (support level required: III)
  • 4.3.1D: CCG demonstrates clear understanding of lines of accountability between it and its support provider/s. (support level required: II)
  • 4.3.2B: CCG has plans in place to build or secure appropriate capacity and capability for internal and external communications required to deliver its commissioning plan. (support level required: II)
  • 4.3.3A: CCG has assessed its information requirements and planned capacity/ capability to deliver those requirements. CCG has used NHS Information Governance toolkit to assess its capability to meet information governance requirements. (support level required: II)
  • 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)
  • 5.3B: 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)
  • 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)
  • 6.4H: CCG has sufficient in-house capability to manage its commissioning support arrangements well. (support level required: III)