Prepared by John Bewick, Director of CCG Development, NHS England, 28 August 2013
- The CCG Development Framework identifies the most important areas for future CCG development. The aim is to develop a clear understanding of what excellent practice looks like across the range of domains that underpin a CCG’s ability to deliver transformational change.
- It is intended to support CCGs and Area Teams in identifying where to prioritise development efforts. It will guide NHS England in its leverage of development resources with national partners; and it will signal to suppliers of development where they can most effectively add value. One of the outputs is a Directory of CCG Development Support Offers (draft Sept 2013)
- The most significant challenges identified as priorities by CCGs include:
- Service challenges
- addressing unwarranted variations in quality and safety of present services;
- reducing health inequalities, including variations in access to services and health outcomes;
- delivering whole care delivery system change, promoting health, wellbeing and independence and avoiding unnecessary use of urgent and emergency services; and
- redesigning services to bring them closer to home, wrapped around the complex needs of individuals, including the redesign of primary care.
- System challenges
- leading local communities in embracing new service offers;
- achieving collaborative agreement across several commissioners to shared priorities; and
- releasing resources trapped in familiar but outdated services for reinvestment.
- Development Challenges
- Striving to engage and exploit the talents of clinicians and managers within the CCG;
- Strengthening the new relationships between general practices as the membership of the CCG;
- Exploring the new potentials of commissioning support services provided from outside the CCG to complement their own strengths, improving their access to expertise, value for money and resilience in commissioning functions;
- Establishing new collaborative commissioning arrangements with other local commissioners including local government, NHS England and other CCGs; and
- Establishing good and productive relationships with NHS England nationally and locally, including receiving useful support, commissioning together locally, and assurance and oversight.
- The CCG development framework will be reviewed annually
