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Commissioning

Commissioning
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The commissioning architecture introduced under the Health and Social Care Act 2012 was designed to place the responsibility for decision-making with clinicians to ensure the focus always remains patient centred. ‘Commissioning’ is the assessment of the needs (and strengths) of the local population, and the planning, designing, and buying of services to match. Our CCG, like all others, commissions most services, including:

  • Planned hospital care
  • Rehabilitation care
  • Urgent and emergency care (including out-of-hours care and ambulance services)
  • Most community health services
  • Mental health and learning disability services

CCGs can commission any service provider that meets NHS standards and costs. These can be NHS hospitals, social enterprises, charities or private sector providers. However, they must be assured of the quality of services they commission, taking into account National Institute for Health and Care Excellence (NICE) guidelines and the Care Quality Commission's (CQC) data about service providers.

The CCG has a statutory responsibility under the NHS Procurement, Patient Choice and Competition Regulations 2013. This must be discharged in procuring healthcare services for the NHS, to secure services that meet patients’ healthcare needs and improve quality and efficiency. We continue to meet the overarching requirements to act transparently, proportionately and without discrimination, recognising the responsibilities to consult and engage.

The services that we commission are reviewed at regular individual provider contract review meetings, and more holistically at internal Senior Leadership Team meetings, and other committee meetings that report to the Governing Body, as well as at Governing Body meetings.

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