Authorisation is the process by which Clinical Commissioning Groups (CCGs) are taken to be ready and able to take statutory responsibility for the commissioning process and budget. This BMA guidance identifies the risks and opportunities in the authorisation process, noting how GPs and local medical committees (LMCs) should ensure that CCGs function as democratic organisations. This document also discusses the six “domains of competence” for CCGs, as identified by the Government, namely (quotation):
- Domain 1: A strong clinical and multi-professional focus which brings real added value.
- Domain 2: Meaningful engagement with patients, carers and their communities.
- Domain 3: Clear and credible plans which continue to deliver the QIPP (quality, innovation, productivity and prevention) challenge within financial resources, in line with national requirements (for excellent outcomes) and local joint health and wellbeing strategies.
- Domain 4: Proper constitutional and governance arrangements, with the capacity and capability to deliver all their duties and responsibilities including financial control, as well as effectively commission all the services for which they are responsible.
- Domain 5: Collaborative arrangements for commissioning with other CCGs, local authorities and the NHS Commissioning Board as well as the appropriate external commissioning support.
- Domain 6: Capable leaders who individually and collectively can make a real difference.
General Practitioners Committee (2011). The authorisation process. London: BMA General Practitioners Committee, December 2011.