Response to NHS England and NHS Improvement’s proposals for possible changes to legislation

We responded to NHS England and NHS Improvement’s engagement exercise on proposed legislative changes to implement the Long Term Plan. To inform our view, we built on previous engagement with our members on whether there were areas which pose barriers to success when trying to work more collaboratively.

In our response we highlight several issues on behalf of our members:

  • Sharing responsibility – so that other bodies within a system would also be responsible for improving health outcomes
  • Ensuring assurance and regulation was aligned
  • Clarifying governance arrangements – e.g. allowing the formation of joint committees, or to avoid ‘double delegation’
  • Reduce the burden of procurement
  • Payment reform so that payment would not always default to paying on an activity basis

CCGs recognise that many of these issues are already being tackled through existing efforts, and as legislative change is a long process, work to improve collaboration must continue.

Whilst we support the emphasis on collaborative working, it is imperative that the unique and critical role of CCGs is not diluted or lost – so they are able to maintain their role as the ‘purchaser’ of healthcare for their populations and make best use of the NHS pound.

Download Consultation response