A proposed merger between eight Clinical Commissioning Groups (CCGs) in London has been thwarted by doctors in one area due to per capita funding.
The Health Service Journal (HSJ) reported that seven of the eight areas had voted for the merger, but GPs in one CCG were overwhelmingly against the move. This was the second attempt at forging the new structure:
“Last year the commissioners tried to merge the eight into one by April 2020, in line with CCGs in the South West, South East and North Central London systems, which have also been backed by London’s NHS regional team.
“The CCGs then said they supported the merger in principle but sent back the proposal to be refined. One point singled out was the future finances of the single CCG, and this remains a sticking point. There is variation in per capita spending between the CCGs with it currently ranging from £186 per head in West London to £152 in Brent.”
NHS England intends for each Integrated Care System (ICS) to have a single CCG, and for this to be implemented as far as possible by April 2021. However, this has not yet been made compulsory, and CCGs in each area must agree to merge in order to achieve this goal. HSJ reported that legislation to replace CCGs with ICSs may be incoming in the next year so as to streamline the process.
Read the full HSJ article (£) for more information.