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| Clinical Commissioning Groups Who1 #370560 Clinical commissioning groups (CCGs) are responsible for commissioning a range of healthcare services for children and adults. This includes specialist obesity services (sometimes called tier 3 services). The groups do not directly commission lifestyle weight management services (sometimes called tier 2 services). Rather, they work with local authorities to coordinate and integrate planning and commissioning through the health and wellbeing board. | - CCGs [1] are clinically led groups that include all of the GP groups in their geographical area. The aim of this is to give GPs and other clinicians the power to influence commissioning decisions for their patients.
- CCGs are overseen by NHS England (including its Regional Offices and Area Teams). These structures manage primary care commissioning, including holding the NHS Contracts for GP practices NHS.
- Each CCG has a constitution and is run by its governing body. Each has to have an accountable officer responsible for the CCG’s duties, functions, finance and governance. Most CCGs initially appointed former PCT managers to these posts. Only a quarter of accountable officers were GPs in October 2014, but 80% of CCG Chairs were GPs.
CCGs operate by commissioning (or buying) healthcare services including: - Elective hospital care
- Rehabilitation care
- Urgent and emergency care
- Most community health services
- Mental health and learning disability services
Clinical commissioning groups work with patients and healthcare professionals and in partnership with local communities and local authorities. On their governing body, Groups will have, in addition to GPs, at least one registered nurse and a doctor who is a secondary care specialist. Each CCG has boundaries that are coterminous with those of local authorities, though one authority may have several CCGs. Clinical commissioning groups are responsible for arranging emergency and urgent care services within their boundaries, and for commissioning services for any unregistered patients who live in their area. All GP practices must belong to a clinical commissioning group.
At the end of March 2013 there were 211 CCGs. |
+Citations (3) - CitationsAdd new citationList by: CiterankMapLink[1] Obesity: Guidance on the prevention of overweight and obesity in adults and children
Author: NICE - CG43
Cited by: David Price 2:32 PM 18 December 2014 GMT
Citerank: (31) 352351Increased risk of Type 2 diabetes Obesity substantially raises the risk of Type 2 diabetes—with excess body fat estimated to underlie almost two-thirds of cases of diabetes in men and three quarters of cases in women—and people at risk of diabetes can cut their chances of getting diabetes by 60% if they lose between 5% and 7% of their body weight. Worldwide, the number of people with diabetes has tripled since 1985. [2]57DE7179, 352718Invest in employee health and wellbeingEncourage organisations to invest employee health and wellbeing; including a health risk assessment and the provision of resources to help employees address the factors that pose the greatest risk to their health and wellness. [1], [2], [3], [4], [5]565CA4D9, 369907NICE Guidance on Diet, Nutrition and ObesityNote: extended excerpts from National Institute for Health and Care Excellence are included and cross-linked here to help explore and understand their intersection with the policy space and their implications. Those seeking specific guidance should refer to the full Guidelines and Pathways directly.565CA4D9, 369908NICE – DietHaving a healthy balanced diet helps prevent obesity, cardiovascular and many other conditions. This pathway covers recommendations for everyone about diet and lifestyle, and recommendations for health professionals on interventions to encourage people to follow a healthy diet.565CA4D9, 369909NICE – Lifestyle weight management for overweight or obese adultsLocal authorities, working with other local service providers, clinical commissioning groups and health and wellbeing boards, should ensure there is an integrated approach to preventing and managing obesity and its associated conditions.565CA4D9, 369912NICE – ObesityGuidelines on preventing and managing obesity.565CA4D9, 369913NICE – Obesity working with local communitiesThis pathway focuses on an overarching approach to overweight and obese adults and overweight and obese children in local communities. It focuses on the importance of integrating action on obesity in other local agendas (such as initiatives to prevent type 2 diabetes, cardiovascular disease and cancers, or initiatives to improve the environment and promote sustainability), and provides an organisational framework for the relevant community-based or individual interventions.565CA4D9, 369921NICE – Keeping track of weightEveryone should aim to maintain or achieve a healthy weight, to improve their health and reduce the risk of diseases associated with being overweight and obese, such as coronary heart disease, type 2 diabetes, osteoarthritis and some cancers. Periodically check your weight, waist measurement or a simple alternative, such as the fit of your clothes.565CA4D9, 369923NICE – Diet to maintain a healthy weightBalancing 'calories in' (from food and drink) and 'calories out' (from being physically active) may help to maintain a healthy weight.565CA4D9, 369924NICE – Activity to maintain a healthy weightBalancing 'calories in' (from food and drink) and 'calories out' (from being physically active) may help to maintain a healthy weight.565CA4D9, 369925 NICE – Additional advice for parents and carersIn addition to the general recommendations on behaviours to maintain a healthy weight, the advice below will help children establish healthy behaviours and maintain or work towards a healthy weight. These strategies may have other benefits – for example, monitoring the amount of time children spend watching television may help reduce their exposure to inappropriate programmes or advertisements.565CA4D9, 369926NICE – Advice for adults who wish to lose weightSee also the NICE guidance on diet and activity to maintain a healthy weight.565CA4D9, 369928NICE – Local authority environmental interventions565CA4D9, 369929NICE – Healthcare professional interventionsInterventions by healthcare professional to address obesity.565CA4D9, 369931NICE – Interventions to support smoking cessation All interventions to support smoking cessation should: ensure people are given information on services that provide advice on prevention and management of obesity if appropriate?, and give people who are concerned about their weight general advice on long-term weight management, in particular encouraging increased physical activity.565CA4D9, 369934NICE – Workplace interventionsAll workplaces, particularly large organisations such as the NHS and local authorities should address the prevention and management of obesity, because of the considerable impact on the health of the workforce and associated costs to industry. 565CA4D9, 369937Local authorities and the NHS as employersLocal authorities and the NHS as employers should set an example in developing public health policies to prevent and manage obesity by following existing guidance and (in England) the local obesity strategy.565CA4D9, 369941NICE – School interventions565CA4D9, 370053Standards for take-aways and other food outletsFood from take-aways and other outlets (the 'informal eating out sector') comprises a significant part of many people's diet. Local planning authorities have powers to control fast-food outlets565CA4D9, 370058Supporting people who are stopping smokingAll interventions to support smoking cessation should: (1) ensure people are given information on services that provide advice on prevention and management of obesity, and (2) if appropriate give people who are concerned about their weight general advice on long-term weight management, in particular encouraging increased physical activity.565CA4D9, 370062Lifestyle advice on diet & physical activity for families and children565CA4D9, 370063Diet in early years education and childcareHelp children and young people to have a healthy diet and lifestyle. This includes helping them to develop positive, life-long habits in relation to food. This can be achieved by ensuring the messages conveyed about food, the food and drink available – and where it is consumed – is conducive to a healthy diet.565CA4D9, 370074Training for programme for lifestyle weight management services staff 565CA4D9, 370163Primary Care565CA4D9, 370164Community based programmes and interventions565CA4D9, 370177Training for health and other professionals565CA4D9, 370918NICE – Interventions to increase physical activity565CA4D9, 370963NICE – Preschool Interventions565CA4D9, 371184NICE – Physical activity in the workplacePhysical activity programmes in the workplace including active travel.565CA4D9, 399548Invest in employee health and wellbeingEncourage organisations to invest employee health and wellbeing; including a health risk assessment and the provision of resources to help employees address the factors that pose the greatest risk to their health and wellness. [1], [2], [3], [4], [5]565CA4D9, 399987Increased risk of Type 2 diabetes Obesity substantially raises the risk of Type 2 diabetes—with excess body fat estimated to underly almost two-thirds of cases of diabetes in men and three quarters of cases in women—and people at risk of diabetes can cut their chances of getting diabetes by 60% if they lose between 5% and 7% of their body weight. Worldwide, the number of people with diabetes has tripled since 1985.57DE7179 URL: |
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