Table 3

Indicative list of services tendered in the four case study sites (year of tender, where available; and value, where available)

CCG1CCG2CCG3CCG4
Two aspects of Diabetic retinal screening (2009, £110–£130 K; and £350–£450 k)
Dental services (2009, £2.6 m)
Clinical pharmacy support (2009, £500–£700 K per annum)
Lymphedema service (2009, £700–£900 K)
Substance misuse (2009)
Independent sector Treatment centre (2009)
Community oxygen (2010)
Intermediate care (2010)
AQP podiatry (2012)
Orthodontics (2012, £3 m)
Intermediate care (2015)
Diabetes service (2015)
AWP Chronic Disease Self-management Programme (2009, £200–£500 K)
Continuing healthcare (2010)
Urgent care transport (2010)
Breastfeeding peer support (2011, £150–£180 K)
Sexual Assault Referral Centre (2012, £960 K)
AWP smoking cessation (2012, £600–£790 K)
Pathology laboratory (2012, £1.8–£2 m)
AQP Podiatry (2012)
AQP Adult hearing (2012)
AQP Wheelchairs (2012)
Intermediate care (2013, up to £500 K)
Palliative Care (2013, £36 K)
Assisted conception (2013, c. £8.5 m)
A nationally required new service (2014, £45–130 m, joint with other CCGs in the region)
Termination of pregnancy (2014, £5.3 m)
End-of-life care service
Diagnostics, care and treatment
Home oxygen
Drug and alcohol treatment
GP-led urgent care centre (2009)
Wheelchairs (2013)
Community ophthalmology (2013)
Midwifery (2014)
AWP community endoscopy
ISTC
Health and social care transport (joint national)
Care homes (joint regional)
Urgent care transport (joint national)
Urgent care centre (2008, £500 K-£2 m)
GP-led health centre (2009, £3–5 m)
Drug and alcohol services (2011, £4.8 m)
Primary mental Health(2011, £3.3 m)
Chlamydia screening (2011, £1.8–£2.4 m)
Speech and language therapy (2012, £1.8 m)
Smoking cessation (2012, £1.1 m)
NHS 111 pilot (2012, £880 K-£1.3 m)
Clinical assessment service—telephony booking and management service (2012, c. £200 K)
Health improvement (2012, c. £1.2 m)
AQP MSK (2012)
AQP Podiatry (2012)
Rehabilitation support (2013)
Ophthalmology
Phlebotomy
  • AQP, any qualified provider; AWP, any willing provider; CCG, clinical commissioning groups; ISTC, Independent Sector Treatment Centre; GP, general practitioner; MSK, musculoskeletal service; NHS, National Health Service.