06.05.15
Fragmentation in commissioning – and in scrutiny
Source: Cllr Martin Klute
Having been involved in Health Scrutiny since before the implementation of the Health and Social Care Act, I have been deeply concerned about the fragmentation of commissioning brought in by the Act.
We established that the commissioning functions of the combined North Central London CCG were reallocated to 16 different organisations on April 1st 2013. We also learned that NCL CCGs were delegating their commissioning to the North and North East London CSU.
The fragmentation of services has been damaging enough, already making scrutiny very difficult, but if the government forces the CSUs to go private, we will lose any scope at all to scrutinise them. There is absolutely no justification for privatising CSUs, and good reason for not doing so.
Re: CCGs failing to monitor and enforce contracts for outsourced services