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Where will the NHS Local Area Teams and Clinical Senates operate?

22 June 2012

 NHS Commissioning Board Authority Chief Operating Officer Ian Dalton and Medical Director Professor Sir Bruce Keogh have shared the outcome of the work to agree the geographies that the NHS Commissioning Board (NHS CB) local area teams will serve, as well as the outcome of related work to confirm the number, and coverage, of clinical senates: New Geographies.

Local Government Chronicle's early analysis states:

"... local area teams will all have the same core functions around the development of clinical commissioning groups, emergency planning, quality and safety, and service configuration.

However, there will also be variations between the teams around direct commissioning. While all local teams will commission GP and dental services, pharmacy and some optical services, 10 of the branches will have additional responsibilities as specialised commissioning hubs.

A smaller number of local teams will directly commission prison health and military health services....

The structure is intended to take into account local geographies, service patterns and relationships.

Local area team directors will be appointed over June and July. Further recruitment, beginning with the next most senior roles, will take place from July to December.

The briefing states: “We are working across the system, moving as quickly as we can at the same time as aiming to align the recruitment and transfer of staff at similar grades and levels.

“By working in a coordinated way we aim to maximise opportunities for staff and minimise uncertainty and disruption in the current system.”

Although the document confirms there will be 12 clinical senates, there is no detail yet on who will be part of them or what their role will be.

Further details will be circulated “in the coming weeks”, it says.

There are three areas where clinical senate boundaries cut across those of the local area teams.

“This has been necessary to ensure that the senate boundaries recognise the pattern of patient flows, particularly with tertiary centres,” according to the briefing.


    The North's proposed Local Area Teams

The local area teams in the North West will be (27 across England):

  • Cheshire, Warrington and Wirral*
  • Greater Manchester
  • Lancashire
  • Merseyside
  • Cumbria, Northumberland, Tyne and Wear*

 * These two teams are expected to have responsibility for specialist commissioning (ten teams across England); Cheshire, Warrington and Wirral will have responsibility for the majority of the North West (all but North Cumbria).



Proposed Clinical Senates in the North

The clinical senates in the North West will be (12 across England):

  • North East, north Cumbria, and the Hambleton and Richmondshire districts of North Yorkshire
  • Greater Manchester, Lancashire and South Cumbria
  • Cheshire and the Mersey




Further reading:


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Contact Us

Voluntary Sector North West
St. Thomas Centre
Ardwick Green North
M12 6FZ
Tel: 0161 276 9300
Fax: 0161 276 9301