The case for change

Case for change – commissioning reform 



As part of our response to the NHS Long Term Plan, we have been looking at the implications of moving towards a single CCG. 

To give you a better understanding of the entire process, (known as commissioning reform), we have published our case for change and summarised the key points below, but please read the entire document to get the full information.

Key documents

Why is this happening?

·         We want to align with national policy set out in the NHS Long Term Plan – that suggests that all sustainability and transformation partnerships (STPs) develop into an integrated care systems (ICS), typically supported by a single CCG. This will also be in line with other STP areas in London which are going through a similar process.

·         Although CCGs will be aggregated into more strategic organisations, we will in parallel be developing local integrated care partnerships with our partners in the NHS, local government and the third sector.

·         We have unwarranted variation in health outcomes and duplication across eight boroughs – by reducing this inefficiency we can improve quality and reduce inequalities.

·         We also need to save money – the running cost reductions will make a small contribution to our savings requirement, but the more significant savings will come from reducing duplication and operating as an integrated system rather than in a competitive system under payment by results.

What will this look like?

This will mean that the eight CCGs will become one statutory organisation.

We would still need local delivery teams, i.e., we envisage we would have local teams working in the areas currently under a CCG. These delivery teams will develop and support the emerging integrated care partnerships (ICPs), which in turn support the developing primary care networks (PCNs).

We held a period of engagement from 29 May to 24 August 2019 - following this engagement period a set of recommendations will be discussed at all eight governing body meetings in September 2019.