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First CCG is placed in special measures

NHS England imposes restrictions on commissioners

Adrian O'Dowd

Tuesday, 15 December 2015

NHS England has confirmed that it has placed NHS Shropshire CCG into the “special measures regime”, for the first time for any CCG.

The move is part of the CCG Assurance Framework and means there will now be a structured approach for the CCG to improve its performance, while remaining accountable for its functions.

NHS England said the decision would also provide assurance that the agreed action plans were effective and were being achieved.

The regime is designed for the CCG to take responsibility for the implementation of “intensive support” for an agreed period of time, up to a maximum of 12 months.

The special measures will focus on agreeing a control total for the CCG's forecast outturn in 2015-16, while also producing a financial recovery plan to achieve the control total.

Other steps to be taken include setting up a capacity and capability review and the recruitment of a turnaround team.

The CCG will also have to produce an overall CCG Improvement Plan informed by the capacity and capability review.

In a letter sent to the CCG, Dr Paul Watson, NHS England’s regional director (Midlands and East), said: “It [special measures regime] is a formal mechanism offering the CCG support while preventing unacceptable risk in the CCGs operations.

“The CCG remains accountable for its functions and is responsible for the process of developing and implementing its improvement plan, overseen and monitored by NHS England.”

NHS England will regularly review the CCG’s approach to make sure it is making the necessary improvements needed.

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