Clinical Commissioning Groups- who guards the guardians?

I have been following the decisions made by the recently formed local Clinical Commissioning Groups with some interest. They seem to have something of the iconoclast about them. Firstly, the change a long established arrangement with the local drug and alcohol treatment provider ADSIS that has existed for many years for a Birmingham based service.

Shortly afterwards I read that the GP out of hours service in Basford is under review. The service which has been run as a not for profit organisation by local GPs fear that a large private health organisation will take over the contract and that a company with no local knowledge will have a detrimental impact on patient services. Continue reading