Has clinical commissioning found its voice? GP perspectives on their CCGs

The survey examines how GPs and practice managers are involved and engaged in the activities of their CCGs as well as their views on co-commissioning and performance management from CCGs.

The results show that over the past three years, CCGs have matured as organisations and clinical leaders are increasingly confident in their commissioning roles. CCGs are seen as an influential part of the local health economy and increasingly are driving change to the way primary care is provided.

However, one of the founding principles of CCGs – to improve clinical engagement in commissioning – has evidently not yet been totally realised. Only one fifth of GPs without a formal role in the CCG felt they could influence decisions – a substantial decrease in the last two years. Notably, CCG Managers were seen to hold far more influence than GP leaders.

The survey comes as part of a wider joint project from the Nuffield Trust and The King’s Fund to understand the development of the new commissioning arrangements, and to support CCGs by spreading good practice and learning. These results foreshadow a report with The King's Fund, to be published later this year, which will outline the major implications of the research and lessons for clinical commissioning going forward.