A consultation on arrangements for the transfer of commissioning responsibility: renal dialysis services and morbid obesity surgery services.

Closed 9 Jan 2015

Opened 27 Nov 2014


This consultation seeks views on the proposed transfer of commissioning responsibility for renal dialysis services and morbid obesity surgery services from NHS England to Clinical Commissioning Groups (CCGs). It asks what type of support CCGs will need from NHS England to be able to commission these two services safely and effectively and whether, if all this support can be put in place, the transfer should happen from 1st April 2015.
The consultation closes on 9th January 2015. The results will be analysed and used to inform decisions on when and how the transfer in commissioning responsibility should be made.

Why We Are Consulting

The Prescribed Specialised Services Advisory Group (PSSAG) provides ongoing advice to Ministers on which services are specialised and should therefore be commissioned by NHS England, rather than by Clinical Commissioning Groups (CCGs). Ministers’ decisions about what services should be prescribed in secondary legislation as specialised services for NHS England commissioning take account of this advice.
The Group met on 30th September 2014, and (amongst other matters) considered proposals put to it by NHS England for the commissioning responsibility for two services, renal dialysis services and morbid obesity surgery services, to transfer to CCGs.

PSSAG considered the two services against the four statutory factors in the National Health Service Act 2006 and concluded that they no longer meet the requirements for commissioning by NHS England. They made some suggestions to support CCGs in taking on these functions, particularly to help maintain quality of services upon transfer of commissioning responsibilities.

We are considering transferring commissioning responsibility for these services from 1 April 2015, but are keen to ensure that:

• The transfer does not negatively impact patients and their access to services
• NHS England support CCGs to take on the commissioning responsibility for the services
• CCGs are ready to commission the services
• The changes can be reasonably and safely made in time for 1 April 2015

This consultation seeks your views on what type of support CCGs will need from NHS England to be able to commission these two services effectively and whether, if all this support can be put in place, the timing of the transfer is right.

What Happens Next

Summary of consultation responses

A summary of consultation responses will be made available before or alongside any further action, such as laying legislation before parliament, and will be placed on the GOV.UK website (www.gov.uk/dh).


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  • NHS Commissioning Board