Abstract

Clinical commissioning is a current health care management model for primary, secondary, and long term health care needs n United Kingdom nowadays. Form on 1 April 2013, Primary care trusts (PCTs) and strategic health authorities (SHAs) have been abolished. Clinical Commissioning Groups (CCGs) work with local authorities to address the wider determinants of health that is used to help people make positive changes to their lifestyle. NHS England (formerly the NHS Commissioning Board) and CCGs are currently responsible for commissioning the wide majority of NHS services. Local authorities take place on new public health commissioning responsibilities. England’s 211 CCGs will take over from 303 PCTs. CCGs are responsible for £65bn of the £95bn NHS commissioning budget. CCGs are planning and commissioning hospital care, community care as well as elderly care and mental health services. All GP practices have to be members of a CCG, and every CCG board will include at least one hospital doctor, nurse and member of the public. This process has continuing healthcare funding for managing elderly care, but personal health budgets also needed for providing huge benefits for these individuals. The aim of CCGs in managing a health budget is to provide elderly people more choice and control over the money spent on meeting their health care and well-being needs. That is, clinical commissioning groups select services that meet the elderly people’s needs in a flexibly and appropriately.

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