Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
As the new financial year draws close, clinical commissioning groups are discovering they are the victims of the first of what is likely to be many sleights of hand over the NHS abacus.
The missing beans causing consternation as CCGs try to figure out how they will balance their first year?s books relate to the ?12bn swiped from the NHS commissioning budget and absorbed into the NHS Commissioning Board for spending on specialised services.
The move was well trailed, and there are strong arguments in favour of centralising the commissioning expertise and buying power for specialist services. The problem is CCGs − perhaps naively − took it on good faith that a ?12bn reduction in their commissioning budget would be backed up by a ?12bn reduction in relevant ?specialist? activity.
Up and down the country, CCGs are finding this is not so. The headache is not just one for the commissioners either. As ever in the NHS, the impact of this budgetary and policy change is lumpy.
http://www.hsj.co.uk/opinion/ccgs-f....article?blocktitle=Most-popular&contentID=-1
The missing beans causing consternation as CCGs try to figure out how they will balance their first year?s books relate to the ?12bn swiped from the NHS commissioning budget and absorbed into the NHS Commissioning Board for spending on specialised services.
The move was well trailed, and there are strong arguments in favour of centralising the commissioning expertise and buying power for specialist services. The problem is CCGs − perhaps naively − took it on good faith that a ?12bn reduction in their commissioning budget would be backed up by a ?12bn reduction in relevant ?specialist? activity.
Up and down the country, CCGs are finding this is not so. The headache is not just one for the commissioners either. As ever in the NHS, the impact of this budgetary and policy change is lumpy.
http://www.hsj.co.uk/opinion/ccgs-f....article?blocktitle=Most-popular&contentID=-1