Why are so many CCGs merging?
Some 18 clinical commissioning groups (CCGs) are involved in a wave of mergers, while other CCGs are to share chief executives and boards.
Three reasons are said to underlie the mergers: cutting costs through sharing leadership, preparing for the development of accountable care systems (ACSs), which are planned to replace sustainability and transformation partnerships (STPs), and, in some cases, replacing unsuccessful CCG regimes.
CCG mergers planned for 2018 include:
- Aylesbury Vale and Chiltern
- Birmingham CrossCity, Birmingham South and Central, and Solihull
- Bracknell & Ascot, Slough, Windsor, Ascot & Maidenhead
- Bristol, North Somerset and South Gloucestershire
- Leeds West, Leeds North, and Leeds South and East
- Newbury & District, North & West Reading, South Reading and Wokingham
The mergers, which mark the largest change seen in the CCG landscape since the commissioning bodies were established in 2013, were reported by HSJ editors.
The journal also noted that two groups of CCGs are to share leadership.
In Sussex, Brighton and Hove CCG, High Weald Lewes Havens, Crawley, and Horsham and Mid Sussex are to form the Central Sussex Commissioning Alliance with a single accountable officer.
The alliance is to be divided into North and South areas, each of which will have their own managing director.
In a similar move, six CCGs in Staffordshire have appointed a single accountable officer. The CCGs are North Staffordshire, Stoke on Trent, Cannock Chase, South East Staffordshire, Seisdon Peninsula, Stafford and Surrounds.
The appointed accountable officer will also take over at East Staffordshire in March 2018.
NHS England: Integrating care locally