CCGs are made up of member GP practices, which are all contractually obliged to be CCG members. Birmingham LMC has made a significant contribution advising both constituent practices and their CCGs on the content of their legally-binding constitutions. As detailed above, the Birmingham CCGs now have full delegated responsibility for commissioning general practice and holding GP practice contracts. This function is carried out through the CCGs’ Primary Care Co-Commissioning Committees, at which the LMC is represented in an observer and advisory capacity.
Initially there were three CCGs in Birmingham: Birmingham Cross City CCG, Birmingham South Central and Sandwell and West Birmingham CCG. In April 2018 Birmingham Cross City CCG and South Central CCGs merged with Solihull CCG to form Birmingham and Solihull CCG, the countryâ€™s largest CCG. The footprint of the new CCG is now aligned with the Birmingham and Solihull Sustainability and Transformation Partnership (STP). The CCG merger also led to closer working arrangements between BSOL and Sandwell and West Birmingham CCGs in order to ensure that commissioning arrangements and STP strategy for West Birmingham were co-ordinated with those in rest of the city.
As a result of the 2012 Health and Social Care Act responsibility for commissioning public health local enhanced services (sexual health services, alcohol and substance abuse services, NHS health checks, smoking cessation and lifestyle services) has been transferred to local authorities rather than CCGs and the LMC therefore also has a role in liaising with Birmingham City Council in respect if these services and other matters of relevance to general practice.
The LMC regularly liaises and engages with GPs, practice staff, the CCGs, the NHS England regional team, Birmingham City Council and all other relevant bodies, including the Birmingham and Solihull and the West Birmingham and Black Country STP boards in order to represent and to provide help, advice and support to GPs and their practices wherever appropriate across all areas of their responsibilities.