Guidance on merging CCGs – version 4

Early last year NHS England and Improvement (NHSEI) updated an update to guidance on merging CCGs that had been in place for three years. The updated guidance took account of the vision set out in the Long Term Plan for streamlined commissioning arrangements that align with sustainability and transformation partnership (STP) and integrated care system (ICS) footprints. A trickle of organic applications became a wave as CCGs were encouraged by their regional teams to make applications to merge in line with the Long Term Plan and as a simple way of achieving administrative savings targets they’d been set. The high volume of mergers has provided the opportunity for some learning and NHSEI has incorporated that in an update: Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution, Version 4.

 

The reality is that the procedures in this guidance has remained pretty much unchanged since it was first published in October 2015. NHSEI took the opportunity to incorporate learning from the first CCG mergers in a Version 2 (Nov 2016) and the strategic policy changes forced version in April 2019.

 

As its title sets out, the guidance covers three procedures:

• Procedure to change a CCG constitution

• Procedure to agree a CCG merger
• Procedure to dissolve a CCG

 

The body of the text in each of the procedures sections of version 4 receives only minor tweaks, that will provide greater clarity for CCG leaders sitting down to find out what they have to do. The most common change is from an assumption that approval from CCG governing bodies is required, to specifying that the approvals needed must be in line with local governance arrangements as set out in CCG constitutions. That might be the full membership, a subset of the full membership, or the governing body. The revision team has also added in the mergers section a nod to the ‘Shropshire approach’, noting that “Mergers involve both the dissolution of existing CCGs and the establishment of a new one.” The stakeholder engagement and consultation requirements for the process are unchanged by this version.

The real changes are about the information required to make an application to merge CCGs sit in annex 3 – merger application requirements.

 

A first draft of the proposed new CCG constitution has to be included with the application. As it’s still an application, the draft need not yet have been approved by the members.

 

• The requirements that must be covered in the financial strategy or plan are itemised for the first time; and
• The elements CCGs are required to cover in their clinical commissioning strategy are also set out where they weren’t in version 3.
• The wording in the annex now notes that NHSEI will, quite reasonably, expect documents to be more developed the closer to merger date they are submitted.

 

All in all these are positive updates to guidance aimed at smoothing and speeding up the process of applications to merge CCGs.

 

Planning a communications and engagement programme to assist the application and support its implementation can be an onerous task. Our team brings the learning from several CCG merger programmes. We’re always happy to share, so get in touch.

71 Comments

Kenneth Jones
June 19, 2021 3:56 pm

It’s a pity you don’t have a donate button! I’d certainly donate to this brilliant blog!

I guess for now I’ll settle for bookmarking and adding your RSS feed to my Google account.

I look forward to new updates and will share this website with
my Facebook group. Talk soon!

Buy steroids online
September 25, 2021 11:37 am
Antoniorhymn
December 17, 2021 1:40 pm

Governing body members of the NHS Eastern Cheshire, Vale Royal, South Cheshire and West Cheshire clinical commissioning groups CCGs will all vote on whether to press ahead with the merger at meetings over the next month. Trust, is October 2018 – April 2019 of 2021 Birmingham and Solihull CCG responsible. The middle of the Business case the City right support for local people to live well and stay..

Antoniorhymn
December 21, 2021 5:54 pm

Absolutely with you it agree. I like your idea. I suggest to take out for the general discussion.
In it something is also to me it seems it is excellent idea. Completely with you I will agree.
It is a lie.
Absolutely with you it agree. It seems to me it is very excellent idea. Completely with you I will agree.
Absolutely with you it agree. In it something is and it is good idea. It is ready to support you.

https://www.clarioncoolers.com/zoro/

Michal
January 11, 2022 1:11 am

Heya this is kinda of off topic but I was wondering if blogs use WYSIWYG editors or if you have to manually code with HTML.
I’m starting a blog soon but have no coding knowledge so I wanted to get advice from someone with experience.
Any help would be enormously appreciated!

saaioki
January 13, 2022 12:52 am
benfra
January 14, 2022 1:09 pm
mertada
January 14, 2022 1:44 pm
delestep
January 14, 2022 2:04 pm
hamsas
January 14, 2022 2:23 pm
celhar
January 14, 2022 2:43 pm
idaeva
January 15, 2022 3:55 am

idaeva f91c64177c https://seesaawiki.jp/ciovesdieder/d/Calendar 366 II 2.3.9 Crack Mac Osx

eirflur
January 15, 2022 6:01 am
immsau
January 15, 2022 9:25 am
primpear
January 15, 2022 10:41 am
pavideb
January 15, 2022 1:22 pm
concwat
January 15, 2022 3:51 pm
jarcon
January 15, 2022 8:04 pm
uilgorm
January 15, 2022 10:09 pm
jaymmal
January 15, 2022 11:13 pm
jaipri
January 16, 2022 12:17 am
cedkat
January 16, 2022 2:25 am

cedkat f91c64177c https://seesaawiki.jp/reuchodesupp/d/Let S Start Yoga Pdf Download

elmvali
January 16, 2022 4:20 am
harlaisl
January 16, 2022 7:04 am
noahaml
January 16, 2022 10:27 am
adovasi
January 16, 2022 11:19 am
horasant
January 16, 2022 12:56 pm
infaida
January 16, 2022 7:25 pm
uplprom
January 16, 2022 8:09 pm
janwel
January 16, 2022 9:37 pm
wincha
January 16, 2022 11:07 pm
wontak
January 16, 2022 11:52 pm
deacai
January 17, 2022 1:20 am
jarbles
January 17, 2022 3:58 am
ragver
January 17, 2022 5:12 am
palosanc
January 17, 2022 5:59 am
golegb
January 17, 2022 6:47 am
bernwayd
January 17, 2022 8:21 am
oniksal
January 17, 2022 12:09 pm
giacgayt
January 18, 2022 2:36 am
rowelat
January 19, 2022 1:36 am
eerefar
January 19, 2022 2:59 am

Leave a Reply