NHS reforms

18.12.18

One in 10 CCG’s ‘failing or at risk’ as NAO calls for long-term plan to deliver ‘stability’ in restructure

A review from the National Audit Office (NAO) has revealed that many NHS CCGs are failing to function effectively, hire or retain staff, or operate within their budgets.

Five years after the former health secretary Andrew Lansley’s overhaul of the health service, auditors found that more than one in 10 CCGs are failing or at risk of failing.

CCGs were established in 2012 to help health services become more responsive to patient needs and to align clinical and financial decision-making. However, as of October 2018, 24 of 207 CCGs in England were subject to enforced recovery plans from NHS England due to poor performance or financial management.

Over 40% of CCGs were rated as either ‘requires improvement’ or ‘inadequate’ in 2017-18, whilst 75 of the CCGs overspent their budgets by a whopping £213m collectively, the NAO found.

Auditors found that CCGs were also facing major issues hiring and retaining the high-quality staff they need, and have “struggled to attract or retain high-quality leadership.”

With the structure of CCGs “evolving” with mergers, shared management teams, and increasingly joint working, changes are intended to help with planning and integrating services. However, the NAO warned there was a risk that working across greater populations would lead more CCGs to struggle to meet patients’ needs.

Amyas Morse, the head of the NAO, said: “We have seen almost three decades of change to NHS commissioning. It would be a huge waste if in five years’ time NHS commissioning is undergoing yet another cycle of reorganisation resulting in significant upheaval.

“The current restructuring of CCGs must deliver balanced and effective organisations that can support the long-term aims of the NHS and deliver a much-needed prolonged period of stability.”

NHS England is expected to set out its vision for commissioning in its long-term plan for the NHS in January 2019, after it was delayed this week, and has said it will step in where CCGs diverge from its vision of effective commissioning.

Image credit - Peter Byrne/PA Wire/PA Images

Enjoying NHE? Subscribe here to receive our weekly news updates or click here to receive a copy of the magazine!

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

An ageing population means hand care and injury prevention is more important than ever

23/08/2019An ageing population means hand care and injury prevention is more important than ever

Grey Giddins, member of the British Society for Surgery of the Hand, discusses how hand care and injury prevention have become increasingly impor... more >
CQC welcomes Dartford and Gravesham NHS Trust improvements

22/08/2019CQC welcomes Dartford and Gravesham NHS Trust improvements

Dartford and Gravesham NHS Trust has been rated ‘Good’ overall by inspectors from the Care Quality Commission (CQC), a marked improve... more >
Government invests £3.3m in children and young people’s mental health

20/08/2019Government invests £3.3m in children and young people’s mental health

Local investment totalling £3.3m is set to be spent to expand 23 local projects aimed at helping prevent mental illness in children and you... more >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital e... read more >

last word

Hard to be optimistic

Hard to be optimistic

Rachel Power, chief executive of the Patients Association, warns that we must be realistic about the very real effects of continued underfunding across the health service. It’s now beyond doubt or dispute, other than in government, th... more > more last word articles >

the scalpel's daily blog

An ageing population means hand care and injury prevention is more important than ever

23/08/2019An ageing population means hand care and injury prevention is more important than ever

Grey Giddins, member of the British Society for Surgery of the Hand, discusses how hand care and injury prevention have become increasingly important given the UK’s ageing population   It’s no secret that the UK’s ageing population presents challenges for the NHS. The fact that we are living longer means greater de... more >
read more blog posts from 'the scalpel' >

comment

Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Being on the receiving end of some “thanks” can make communit... more >
Nurses named as least-appreciated public sector workers

13/06/2019Nurses named as least-appreciated public sector workers

Nurses have been named as the most under-appreciated public sector professionals as new research reveals how shockingly under-vauled our NHS, edu... more >
Helpforce to launch training programmes for NHS volunteers

10/06/2019Helpforce to launch training programmes for NHS volunteers

Kay Fawcett OBE, clinical advisor and education lead at Helpforce, and Lynn Twinn, talent development consultant, outline the new national traini... more >
Creating the Cardigan integrated care centre

10/06/2019Creating the Cardigan integrated care centre

Peter Skitt, county director and commissioner for Ceredigion Hywel Dda University Health Board, looks ahead to the new integrated care centre bei... more >

interviews

How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to surging demand burdening acute health providers over the winter months,... more >
RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

24/10/2018RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

The president of the Royal College of Physicians (RCP) has told NHE that the college’s new headquarters based in Liverpool will become a hu... more >
Duncan Selbie: A step on the journey to population health

24/01/2018Duncan Selbie: A step on the journey to population health

The NHS plays a part in the country’s wellness – but it’s far from being all that matters. Duncan Selbie, chief executive of Pu... more >
Cutting through the fake news

22/11/2017Cutting through the fake news

In an era of so-called ‘fake news’ growing alongside a renewed focus on reducing stigma around mental health, Paul Farmer, chief exec... more >

health service focus

View all News