The LMC has developed a sound working relationship with the 9 Clinical Commissioning Groups in Cumbria and Lancashire and meets with them on a regular basis.
It is important to distinguish the role of the CCG from that of the role of the LMC. The CCG is a commissioning body and as such has the responsibility to commission health services on behalf of the population with expert input from GPs. The role of the LMC (as established by Statute) is to represent GPs as providers of health care and consequently there could be conflicting points of views and issues that need to be resolved between the 2 organisations.
The CCGs are as follows:
Blackburn with Darwen
Chorley and South Ribble
Fylde and Wyre
The LMC meets with the CCGs to discuss areas (not associated with the GP contract) such as enhanced services, other practice developments, shifts of work from secondary care to primary care and any other matter that may impact on primary care. The LMC acts as the voice of all GPs as providers. The LMC also has a role in conducting the elections of GP members to the CCG board on behalf of the CCGs.
They are responsible for commissioning the vast majority of NHS services including the following:
- Urgent and emergency care (including A&E, ambulance services, and NHS 111)
- Out-of-hours primary medical services (except where this responsibility has been retained by practices under the GP contract)
- Elective hospital care
- Community health services (such as rehabilitation services, speech and language therapy, continence services, wheelchair services, and home oxygen services, but not public health services such as health visiting and family nursing)
- Other community-based services, including (where appropriate) services provided by GP practices that go beyond the scope of the GP contract
- Rehabilitation services
- Maternity and newborn services (excluding neonatal intensive care)
- Children’s healthcare services (mental and physical health)
- Services for people with learning disabilities
- Mental health services (including psychological therapies)
- NHS continuing healthcare
- Infertility services