Clinical commissioners are playing a key role as architects of the changing health and care landscape, our analysis launched today shows. The new publication sets out CCGs’ vision for the future and what they need to get there at pace so they can deliver more for patients.
Steering towards strategic commissioning shows there is a strong belief that healthcare commissioning must continue to be clinically led, operate at a scale larger than a CCG footprint, retain its purchasing function and remain accountable to the local population.
The analysis, which was informed by a survey and interviews with CCG leaders, shows that CCGs are embracing change, with 77 per cent of those surveyed intending to contract for a new care model in 2017/18, and 72 per cent planning on increasing their collaborative commissioning.
NHSCC co-chair Dr Amanda Doyle said: “CCGs are leading transformation in their local area and are absolutely seeing strategic commissioning as the future destination which will bring about better care for patients. Our analysis today reinforces the message that through these changes strong clinical leadership in commissioning must be preserved to ensure its credibility.”
The four main ways in which the landscape is developing are:
The analysis reveals a number of challenges that CCG leaders are facing as the system evolves. To tackle these and support CCGs in the future commissioning landscape NHSCC has identified six asks for national stakeholders.
NHSCC co-chair Dr Graham Jackson said “CCG leaders are agreed that moving towards a more strategic integrated commissioning function is the right way forward to ensure that the populations we serve are provided with the best possible services within the resources allocated. However, we are seeing some potentially significant risks that could slow this down. Among these are a lack of clarity in the national direction and low confidence in regulators being able to match the pace of transformation. This is why NHSCC has made a series of asks today, which will support CCGs to make further progress in developing new models of care and increase collaboration for the benefit of our patients.”
One of these asks is around increasing sharing of best practice, with a very clear appetite for this with more than 90 per cent of those surveyed actively looking for early lessons from the new care models.
The other key asks identified are:
The findings in Steering towards strategic commissioning come from a research project commissioned by NHSCC and undertaken by Thesis 11 Ltd. This was informed by survey results from 34 CCG leaders covering 43 CCGs (21%) and 14 in-depth interviews with CCG leaders. Read the report.
27 September 2017