10 November 2014

Primary care co-commissioning

Next steps towards primary care co-commissioning
NHS England, 10 November 2014
  • “Co-commissioning is a key enabler in developing seamless, integrated out of hospital services based around the diverse needs of local populations.”
  • This document sets out the functions, governance arrangements and opportunities, potential benefits and risks of each co-commissioning model.
  • The three proposed primary care co-commissioning models for CCGs are: 
    • Greater involvement in primary care decision making – “an invitation to CCGs to collaborate more closely with their area teams”. No new governance arrangements required. 
    • Joint commissioning arrangements – enables one or more CCGs to assume responsibility for jointly commissioning primary care medical services. There will be the option to pool funding for investment. CCGs could either form a joint committee or “committees in common” with the area team to jointly commission primary care services.
    • Delegated commissioning arrangements - an opportunity for CCGs to assume full responsibility for commissioning general practice services using a standardised model of delegation.