Clinical commissioning: GPs in charge?

ROBERTSON Ruth, et al
Nuffield Trust
Publication year:
Place of publication:

Clinically led approaches to planning and designing health services are more likely to be both innovative and effective. For this reason, CCGs were set up to put GPs at the heart of NHS planning decisions. This report looks at what has been learnt about effective GP involvement in commissioning, including identification of the main barriers to effective involvement and strategies to overcome these challenges. The report describes the factors driving changes in the role and structure of CCGs, outlines findings from earlier Nuffield Trust research about CCGs’ progress in securing GP involvement in commissioning. It then sets out what has been learnt about seven key areas relating to GP involvement. It also highlights three national challenges that are inhibiting CCGs’ ability to do this effectively: lack of autonomy, lack of resources and retaining public support. Recommendations for national bodies about how to secure clinical involvement across the NHS are also provided. Its findings about clinical involvement are relevant not only to policy-makers and CCGs but also to other organisations across the NHS involved in planning and designing services. These include new integrated provider organisations, and the emerging place-based planning approach, in which commissioners and providers are collaborating across local areas to transform care through sustainability and transformation plans (STPs). (Edited publisher abstract)

Subject terms:
clinical commissioning groups, general practitioners, health care, collaboration, participation;
Content type:
Register/Log in to view this resource

Key to icons

  • Free resource Free resource
  • Journal article Journal article
  • Book Book
  • Digital media Digital media
  • Journal Journal

Give us your feedback

Social Care Online continues to be developed in response to user feedback.

Contact us with your comments and for any problems using the website.

Sign up/login for more

Register/login to access resource links, advanced search and email alerts