What are East Staffordshire Clinical Commissioning Group’s responsibilities?
We are responsible for commissioning healthcare for the people of East Staffordshire. The membership is made up of family doctors (GPs) who work in 18 practices across Burton-upon-Trent and Uttoxeter.
The “commissioning" part of the title means the services we buy for our patients – for instance, if you need an operation we will commission a hospital to carry it out. The important thing is that GPs now have more direct responsibility for all aspects of patients’ healthcare.
When did East Staffordshire CCG take on these responsibilities?
CCGs were created by the Health and Social Care Act (2012). East Staffordshire CCG was established in "shadow" form on April 1st 2012. This was followed by a 12 month period while the CCG gradually built up to formally taking on all responsibilities on April 1st 2013.
What has East Staffordshire CCG replaced?
CCGs have replaced Primary Care Trusts (PCTs). Locally it was South Staffordshire Primary Care Trust.
What is the difference between PCTs and the CCG?
There are many detailed changes, but the most important is that GPs now have much more direct control of commissioning health services.
It was often felt that PCTs were distant and unaccountable. CCGs are led directly by family GPs who are familiar faces to most patients.
It is hoped this will strengthen the understanding among the public of how healthcare is delivered and who is responsible and will encourage patients to get involved with decision making.
Are all GP practices in East Staffordshire part of the CCG?
Yes. There are 18 GP Practices and all of them are members. There are around 90 doctors who work in these practices.
What is the CCG’s budget?
The CCG has a revenue allocation of £145m for 2015/16.
What does this provide?
This isn’t an exhaustive list but the main elements include:
- Elective hospital care
- Rehabilitation care
- Urgent and emergency care – 111, out-of-hours GP service, ambulance services, A&E
- Community health services – such as district nurses, community matrons, nurses with specialist skills in specific disease areas; but not public health services such as health visiting and school nursing.
- Mental health and learning disability services
- Maternity and new-born services (excluding neonatal intensive care)
- Children’s healthcare services (mental and physical health)
- NHS Continuing Healthcare
Do you just work with other organisations in the NHS?
No. We work closely with partners including Staffordshire County Council, East Staffordshire Borough Council, the Health and Wellbeing Board, the local Voluntary Sector and a range of private providers of healthcare.
Are there any parts of local healthcare that aren’t commissioned by the CCG?
Yes, including GP services. This would be commissioning or buying services from ourselves, which would be a clear conflict of interest. Instead GP services are commissioned by NHS England, who are also responsible for commissioning NHS pharmacy, optician and dentistry services. Some other services are commissioned by Public Health England and Staffordshire County Council.
Who leads the CCG?
The CCG has a Governing Body.
This is made up largely of local GPs with many years direct service in communities throughout the area. Each now dedicates part of their working week directly to CCG business, while the remainder of their time they continue in general practice.
What do they do?
GP Executive Members and other board members have specific responsibility for their own area of developing local healthcare eg. Mental Health or Community Services, Urgent Care etc.
Are any members of the board not GPs?
There is a Chief Nurse Board Member, two lay members who are not medical professionals, a Secondary Care Doctor, Accountable Officer (Chief Executive) and a Chief Finance Officer. The CCG also has a Chief Operating Officer and representatives from the local councils, Public Health and Local Medical Committee who participate as non-voting members at Governing Body meetings.
What do the two lay members do?
One is responsible for ensuring the views of patients and the public are properly taken into account by the CCG. That role is the Governing Body Member for Patient and Public Engagement (PPI).
The other has a broad responsibility for ensuring the non-medical elements of the CCG are running properly. This includes finance, resources and value-for-money. That role is the Governing Body Member for Governance and Audit.
Who provides support for the governing body?
A management team which includes specialists with a broad range of expertise, including medicines management, financial control, and performance planning etc.
Can members of the public become involved?
Yes. One of the main aims of East Staffordshire CCG is to get residents much more closely involved with the way healthcare is planned and delivered.
Can anyone get Involved?
Yes. Anyone registered with a GP Practice within the East Staffordshire CCG area and anyone who is resident in the area we serve but is not registered with a GP Practice can get involved. Anyone wishing to get involved can find more information in the Get Involved section.