It’s hard to find anyone with a positive view of the new architecture of the health service, but just as hard to find anyone who wants to go through the pain and distraction of yet another structural reorganisation. The default mode, then, must be to make the best of what we have. Part of that picture is to ensure that the governance of CCGs is as robust as possible while delivering business in a sensible manner.
That lies behind CIPFA’s new publication Practical Issues in the Governance of CCGs [pdf], which aims to chart a suitable course for pragmatic arrangements. Building on CIPFA’s pan-public sector involvement in governance issues, it takes account of the frequent possibility if conflicts of interest arising, given the dual role of doctors as commissioners and providers, and of the complicating factor of the Better Care Fund.
It incorporates a checklist of specific points to consider:
Have the relevant practical arrangements been made to set up governance and transactions to enable smooth and consensual operation of the Better Care Fund?
Have Better Care Fund risks been identified and mitigation put in place, both those shared by the CCG and council, and those arising as a consequence of collaborative action but the impact of which would fall on the CCG?