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CCG Constitutions

The relationship between Clinical Commissioning Group (CCG) and practice should be characterised by genuine clinical engagement and collaboration. The CCG should not be seen to regulate or penalise practices and practices need to feel empowered to hold their CCG to account for the decisions made on their behalf. The CCG constitution will play an important role in determining the relationship between practices and CCGs.

GPC Guidance....

The GPC constitutions guidance for Local Medical Committees (LMCs) and practices can be found on the BMA website. The GPC Constitution Checklist assists practices in assessing their local CCG constitution before signing. All practices should also seek LMC advice regarding their CCG constitution.

Your CCG Constitution. . .

The constitution should be limited to governance arrangements of the CCG and should not place any contractual or performance requirement on practices. The NHSCB will have sole responsibility for the administration and management of practice contracts.

Some CCGs are developing draft constitutions with wholly inappropriate clauses. For example:

The NHS Commissioning Board’s draft applicant guide for CCG authorisation proposes that to demonstrate practice support, CCGs should be required to ask every practice to sign their CCG constitution. Although it may be impractical for every GP or practice to have read a constitution in detail, it is essential that every practice understands what the constitution contains, and to propose amendments as appropriate. This can be facilitated by:

CCG constitutions may presently be in draft form and are likely to develop further over time. It is important that there is provision for practices to approve any modifications or additions to the constitution as they arise, to ensure that the constitution has the continuing support of constituent practices.

Your LMC. . .

We urge all practices to reassure themselves of the appropriateness and content of their proposed CCG constitution, to seek advice from their LMC and to use GPC guidance and the attached checklist as an aid. CCGs are membership organisations and CCGs have no right to compel practices to sign a constitution with which they are not content. A practice has the right to refuse to sign these documents until their concerns have been addressed by the CCG.

If you have any questions or would like further information, please email

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Updated on 15 December 2015 2005 views