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SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

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Figure 2.3: Clinical Commissioning Groups in NW London as of January 2013<br />

The responsibility for commissioning health services in NW London is in the process of being<br />

transferred from the NW London Cluster to the eight CCGs.<br />

All eight NW London CCGs have been established and are progressing through the<br />

authorisation process. Seven NWL CCGs in Wave 2 of the authorisation process have been<br />

authorised with or without conditions by the NHSCB. Hillingdon CCG is progressing through<br />

Wave 4 of the authorisation process and is on track to be authorised by 1 April 2013. They<br />

are operating in shadow form, taking decisions within authority delegated by the PCTs, and<br />

are working to ensure a seamless transition of responsibilities on 1 April 2013. Because the<br />

CCGs will take on responsibility for implementing any agreed changes, they have played a<br />

leading role in developing the <strong>Shaping</strong> a <strong>healthier</strong> <strong>future</strong> proposal.<br />

To ensure an appropriate balance between economies of scale and the necessary local<br />

focus on the commissioning of health services, the eight CCGs manage their operations in<br />

two groups of four:<br />

BEHH Federation of CCGs, covering the CCGs of Brent, Ealing, Harrow and<br />

Hillingdon<br />

CWHH Collaborative of CCGs, covering the CCGs of Central London, West London,<br />

Hammersmith and Fulham and Hounslow.<br />

2.2 Out of hospital service provision in NW London<br />

The very great majority of the care of patients in the NHS takes place outside of hospitals.<br />

Within NW London there are estimated to be over 11 million attendances at GP surgeries<br />

2. Introduction to NHS NW London 5

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