This set of commissioning principles has been based upon the vison set out in the NHS England GP Forward View and Salford CCG's Primary Care Strategy. The principles will be used to guide the CCG’s approach to commissioning primary medical services, within the context of national contract regulations and NHS Salford CCG’s conflict of interest policy, procurement strategy and organisational values. As with all its commissioning responsibilities, the CCG demonstrates its accountability to its members, local people, stakeholders and the NHS in a number of ways. These are laid out in the CCG’s Constitution.

It is expected that over the next five years:

  1. Investment in general practice will continue to, as a minimum, be in line with the recommendations of the General Practice Forward View in order to strengthen resilience and sustainability of general practice by building capacity and capability.
  2. The CCG will seek to maximise opportunities to commission primary medical services at scale (for example through a GP provider organisation) where this is expected to improve patient experience or be more efficient.
  3. When commissioning decisions need to be made regarding primary medical service contracts, an options appraisal will be undertaken in order to determine the option that is most likely to meet the needs of the population group and most likely to deliver the CCG’s strategic ambitions. This may not always be re-procuring a ‘like for like’ service.
  4. The CCG will commission general practice services from providers that are able to demonstrate good outcomes, value for money and care for patients that is holistic and provided to consistently high standards of quality and safety.
  5. The CCG will seek to engage with the local population and acknowledge patient views when making primary medical services commissioning decisions.
  6. The CCG will ensure that the primary medical services in Salford continue to meet the needs of a growing and increasingly diverse population. This will include promoting patient choice and equality and seeking to ensure that commissioning decisions improve the economic, social and environmental wellbeing of Salford.
  7. The CCG will encourage and support general practice to play a pivotal role within the emerging accountable care system, with leadership through federated arrangements.
  8. The CCG will embrace opportunities to commission primary medical services in an integrated way where this has benefits for patient care, e.g. through pooling budgets for health and social care services, or commissioning community services to be delivered on a neighbourhood basis from multidisciplinary integrated teams.
  9. The CCG will embrace new contracting mechanisms where they support the viability, sustainability and resilience of general practice, including practices working collaboratively in neighbourhood groups to deliver agreed outcomes and to share resources such as staff and back office services.
  10. The CCG will support making general practice in Salford becoming an attractive place to work. This will include encouraging and supporting general practice to: embrace innovation and new ways of working; adapt and skill-up the workforce to meet patient need; make greater use of technology; and work from modern and fit for purpose premises.
  11. The CCG, as a commissioner of primary medical services, cannot assume responsibility for, or become involved in, matters relating to the management of GP practices, including practice disputes and legal matters.
  12. The CCG will proactively work with partners, including Salford Primary Care Together (as Salford’s GP provider organisation) and the Salford and Trafford Local Medical Committee, in a transparent and supportive manner.

NHS Salford Clinical Commissioning Group

Primary Care Commissioning Committee

May 2017