Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Former chief reserves most praise for CCGs

Nicholson rates NHS England 'five out of 10'

  • Comment

Former NHS England chief executive Sir David Nicholson has rated the organisation just five out of 10.

375_lgc_hsj_reporting

Speaking at the Commissioning Live conference at the end of last month, in one of his final public appearances before retirement, Sir David assessed how the organisations created by the Health and Social Care Act 2012 had been doing in their first year.

He reserved most praise for clinical commissioning groups, which he rated eight of out 10 and said had done “remarkably well”, but rated all other new organisations, including commissioning support units, clinical networks and senates five out of 10 or lower.

“If you think about the potential problems you could have had, how the wheels might have fallen off, on the whole I think CCGs have held it brilliantly together,” he said.

He admitted NHS England’s weakness has been in its own direct commissioning.

“Part of the downside of the way in which commissioning is organised at the moment is the split between primary care and other services at a local level, and the split between specialised commissioning and general services,” he said. “You can see how at the seams of these we’ve got really significant issues to tackle.”

Sir David advocated joint arrangements between CCGs and NHS England in commissioning primary care and said it is “really important that we move on to that quickly”, with NHS England’s resources delegated to CCG level.

He said CCGs should also have a role in specialised commissioning “to ensure that people don’t fall between the divisions in the commissioning architectures”.

However, he praised NHS England as an organisation for operating beyond the electoral cycle.

Sir David acknowledged there was a “mixed reception” to how commissioning supports units are doing, which he rated five out of 10, but be pointed out that they were “literally starting at ground zero”.

“These are brand new organisations. They’ve never operated in a customer focused way,” he added.

He said CSUs needed to be given the benefit of doubt over and the next year and urged CCGs wanting to bring services in-house to “sit and think about it a bit a more”. 

“One of the great strengths of CCGs is the idea of a lean, clinically focused organisation,” he said. “We don’t want… [them] to grow into PCTs by another name.”

He was most critical of clinical senates, which he rated just four out of 10. “I don’t quite see the benefits coming through at the moment,” he said.

  • Comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions.

Links may be included in your comments but HTML is not permitted.