Surveys & Consultations

Surveys & Consultations

The public are being urged to have their say on the future direction of Warrington and Halton’s NHS Clinical Commissioning Groups in a bid to reduce their running costs by a further 20 per cent.

NHS Halton CCG and NHS Warrington CCG, clinically-led statutory NHS bodies responsible for the planning and commissioning of health care services for their local area, have been working together for a number of years, sharing expertise, knowledge and skills. Over this time there has been a lot of joint working that has provided some real benefits in terms of an effective and efficient way of working.

However, in November 2018 NHS England advised CCGs that the Running Cost Allowance (this is the budget for the administrative and corporate overheads) would be reducing by a further 20% by 2020/21. In addition, the NHS Long Term Plan published in January 2019 signalled the direction of travel, with streamlining of commissioning and a focus on ‘place’ and Integrated Care Systems.

This has presented both CCGs with a real challenge and since last November the CCGs have been working to identify actions to reduce running costs but have now exhausted all internal actions to reduce spend and it is simply impossible for the CCGs to make the required reduction in isolation.

When considering what could be done to make savings and at the same time meet the ambitions of the NHS Long Term Plan the CCGs have been exploring all potential options, including; mergers across Cheshire, Mersey, Mid-Mersey and Halton and Warrington, integration with the Local Authorities, and alignment of commissioning across a wider footprint.

The list of options were evaluated against criteria that included; benefits for patients, alignment with the NHS Long Term Plan, being coterminous with local authorities, Clinical leadership and financial management.

A joint meeting of the NHS Halton CCG and NHS Warrington CCG Governing Bodies took place earlier this month. At the meeting Governing Body members discussed the options in detail. The Governing Body members then assessed the options individually to determine which option(s) were the most viable.

The three top scoring options were:

Option 1 – Formal merger of the two CCGs

This would build on the current integrated working arrangements but will mean the establishment of an entirely new CCG, with a single management team, governing body and one set of statutory duties to be delivered, coterminous with the local authorities. Savings would be made as the duplication would be greatly reduced. In addition, this would support the ambitions of the NHS Long Term Plan, retaining a focus on ‘place’ across both Halton and Warrington, whilst supporting the streamlining of commissioning and reducing running costs.

Option 2 – Do Nothing

This option would be to remain as is, with two separately accountable CCGs. There are already some benefits in terms of the integrated management team, the move to a single functional base and the alignment of some work programmes. However, there will still be a lot of duplication in terms of governance arrangements, with two governing bodies, accounts, commissioning plans, work programmes etc. This option would maintain the status quo but does not offer any benefit in terms of economies of scale nor deliver the required reduction in costs or fulfil the vision of becoming a strategic commissioner in line with the NHS Long Term Plan.

Option 3 – CCGs integrate with their respective Local Authorities

This option would be integration as it would not be possible for the CCG to fully merge with the Local Authority as a single entity as Local Authorities and CCGs are different legal entities with separate statutory responsibilities. This option would also require a considerable amount of time to implement, even with complete sign up of all organisations and a level of duplication would remain as CCGs are accountable for delivering the financial and constitutional targets. In addition, this option may not meet the financial requirement to achieve a reduction in the running cost allowance by 20% in the mandated timescales.

At this point, the case for change is being developed against each of the three options, and as part of this process the CCGs want to seek and listen to the views of their stakeholders including partners, providers, patients, the public and third sector organisations.

People can provide us with their views by completing a short survey at

During September all the feedback will be considered as part of the case for change for each of the options and will be used to inform the decision making. A decision is expected by the middle of September. It is really important that people share their views as soon as possible to enable the Clincial Commissiong Groups to consider this as part of their decision-making process.
Depending on the outcome and the decision, there will be a further engagement programme in line with the implementation of any changes.

Dental Care For People With Diabetes.

The Office of Chief Dental Officer, and NHS England & NHS Improvement  National Diabetes Prevention Programme have produced the commissioning standard: Dental Care for People with Diabetes.

 This Commissioning Standard will support the local implementation of pathways for patients to enable the benefits of timely and effective periodontal management on oral health and importantly general health to be realised. 

People with type 2 and type 1 diabetes need to access effective dental care and local pathways should be developed to support this. This will require local engagement between providers and commissioners of dental services and diabetes services, and the commissioning of dental services with the appropriate skills and competences to deliver the care required.

To download a copy of this standard go to

A new IBD Patient Survey has launched, encouraging everyone with Crohn’s or Colitis to make their voice heard and feedback on the care they receive.

Make your voice heard and complete the new IBD Patient Survey today.

There are variations in care for Inflammatory Bowel Disease (IBD), and IBD UK want to ensure that everyone receives safe, consistent, high-quality, personalised care. Last month, IBD UK launched the new IBD Standards, which set out the care people with Crohn’s and Colitis should receive at every point of their journey.

Alongside an IBD Benchmarking Tool for services, the patient survey will help them to understand the full picture of Crohn’s and Colitis care, measured against the new IBD Standards.

This survey will highlight where IBD teams could improve to give the best possible care.

Complete the survey before the 23rd September to make your voice heard.

If you require a paper copy, a different language or have any questions, please contact

St Helens and Knowsley Teaching Hospitals NHS Trust’s vision is to provide 5 star patient care and they are committed to improving the quality of services year-on-year.  They are seeking your views on what their top quality improvement priorities should be for 2019-2020.  Your views are important to the Trust and will be taken into consideration by the Board when selecting the final priorities for 2019-20.

Have your say by completing the survey at the following link:

The final priorities will be published in their Quality Account later in the year, which will be available on their website from July 2019 onwards.