
clinical commissioning group

clinical commissioning groupulu (ccgs) anevi inglaandlooni vaari sthaanika praantaalalo enhetchs sevalanu andinchadaaniki aarogya mariyu saamaajika samrakshana chattam 2012 dwara erpaatu cheyabadina jaateeya aarogya seva (enhetchs) samsthalu. aarogya mariyu samrakshana chattam 2022 phalitamgaa 2022 juulai 1naa vaatini raddu chesi, vaati sthaanamlo samagra samrakshana vyavasthalu erpaatu cheyabaddaayi.
sthaapana.
gps eee commission paatranu sweekaristundani 2010 swetapatram "equity und exalence liberating dhi enhetchs" loe prakatinchaaru. rogula avasaralaku marinta sunnitamaina vaidyaparamgaa nadiche prarambha vyavasthanu roopondinchaalane prabhutva prakatana korikalo idhi oka bhaagam. marchi 2012loe aarogya mariyu saamaajika samrakshana chattam 2012 kinda 2010 swetapatram chattamgaa maarindi. marchi 2013 chivarilo 211 sisiji luu unnaayi, conny viliinaala varusa 2020 april natiki aaa sankhyanu 135kii tagginchindi.
kontavaraku vaaru praathamika samrakshana trustlanu (pii. tii. ess) bharti chesaaru, ayithe 2013 eprillo pii. tii. ess. luu unikilo lenappudu kontamandi sibbandi mariyu baadhyatalu sthaanika adhikara prajaarogya brundaalaku marai. pii. tii. ess. luu neerugaa andinche sevalu parivartana chendutunna samaja sevala karyakramam dwara punarvyavastheekarinchabadda.
nirmaanam mariyu sabhyatvam.
clinical commissioning groupulu (sisiji) anevi vaidyaparamgaa naayakatvam vahinchina groupulu, veetilo vaati bhougolika praantamlooni anni jipi groupulu undevi. vaaru rogulu mariyu aarogya samrakshana nipunulatoe mariyu sthaanika sanghaalu mariyu sthaanika adhikaarula bhaagaswaamyamto panicheesaaru. vaari paalaka mandalilo, prati samuuhamloo, gpsto paatu, kaneesam oka registered narsu mariyu sisiji sarihaddula paridhiloki raani praantaaniki chendina secondary cair specialist ayina vaidyudu undevaaru. gps mariyu itara vaidyulu tama rogulaku commission chese nirnayaalanu prabhaavitam chese adhikaranni ivvadam dheeni lakshyam.
aarogya mariyu saamaajika samrakshana chattam 2012 clinical commission samuuhaala raajyaamgaalalo perkonna praantaalu kalisi ingland mottaanni cover chestayani, mariyu ekakaalamlo ledhaa ativyaapti chendavani andinchindi. sisijilanu enhetchs ingland daani praantiiya karyalayalu mariyu praanta brundaalatoe sahaa paryaveekshinchindi. eee nirmaanaalu praathamika samrakshana praarambhinchadaanni nirvahinchaayi, indulo jipi paddhatula kosam enhetchs oppandaalanu nirvahinchadam kooda undhi.
prati sisijiki oka rajyangam undedi mariyu daani paalaka mandaliche nirvahinchabadindi. prati okkaroo sisiji vidhulu, vidhulu, aardhika mariyu palanaku baadhyata vahinche jawabudari adhikaarini kaligi undaali. chaalaa mandhi sisijilu modatlo eee postulaku maajee praathamika samrakshana trust nirvaahakulanu niyaminchaaru. ayithe, 2014 aktobaru natiki, javaabudaareegaa unna adhikaarulalo naaluginta oka vanthu mandhi matrame gps kaga, sisiji kurcheelalo 80 saatam gpsga undevaaru. 2014 november natiki sagam jipi paddhatulu matrame sisiji nirnayam teesukune prakriyalalo nimagnamai unnatlu bhaavinchaayani chepparu.
union 2015loe 3,392 sisiji boardu sabhyulanu survey chesi, 513 mandhi private aarogya samrakshana companylaku directorlugaa unnaarani nivedinchindihi 140 mandhi atuvanti vyaapaaraalaku yajamanyamlo unnaaru mariyu 105 mandhi vaari kosam bahya panulanu nirvahinchaaru. 400 mandiki paiga sisiji boardu sabhyulu atuvanti companylalo vaatadaarulugaa unnaaru. kings fund mariyu nuffield trust 2016loe inglaandlooni aaru praantaalalo gps sarvenu nirvahinchaayi, 70 saataaniki paiga tama sisiji paniloo kaneesam kontavaraku nimagnamai unnaarani kanugonnaru, ayithe vaari sisijilo adhikaarika paatra laeni vaarilo 20 saatam mandhi matrame vaaru enchukunte tama sisiji panini prabhaavitam cheyagalarani chepparu.
vileenaalu.
2013loe 211 samuuhaalu sthaapinchabaddaayi mariyu samuuhaala madhya viliinaaniki sambandhinchina pratipaadanalaku pratighatana undhi. 1 april 2015naa gate head sisiji, nucasal north & eest sisiji mariyu nucasal west sisiji vileenam ayyayi, ayinappatikee adhe samvatsaramlo, lakeside healthcare carby sisiji nundi moodinta rendu vantula namodaina janabhanu kaligi unna nene sisijiki maaradaaniki darakhaastu chesindi, conny nene daanini angeekarinchadaaniki niraakarinchindi. 2016loe marinni vileenaalu anumatinchabadataayani kanipinchindi, mariyu november 2016loe enhetchs ingland adhikaarika vidhananni prachurinchindi. marchi 2017loe, 83 sisijilu viliinaaniki purvagaamigaa pradhana adhikaarulanu panchukunnaru. 2017loe sisijila madhya vileenaalu prarambhamayyayi, gatamlo nishedhinchabaddaayi. aagashtu 2017 natiki staffordshireloni gps pratipaadita viliinaaniki nirasanaga vaari sthaanika sisijilapai aviswaasa otunu samarpinchindi. liverpool, south sefton mariyu southport mariyu formby sisiji la madhya vileenam nilipiveyabadindi, liverpool sisiji yokka paalana mariyu prayojana sangharshanhala nirvahanapai daryaaptu jarigindi, idhi daani naayakulalo chaalaa mandhi raajeenaamaalaku daariteesindi. hockney, london mariyu kraaleelo ilanti parisoedhanalu jarigaayi.
april 2018 natiki, enhetchs birmingham cross-city, birmingham south central mariyu solihal sisiji la vileenam taruvaata inglandlo atipedda sisiji srushtinchabadindi. kottagaa erpadina enhetchs birmingham mariyu solihal sisiji 13 laksala mandiki paiga rogulaku sevalanu praarambhinchadaaniki baadhyata vahinchaayi.
november 2018loe, enhetchs ingland sisijila paripalana budjetlanu 20 saatam tagginchaalani, vileenaalu aamodinchabadatayani, dabbunu aadaa cheyadaaniki manchi margamani prakatinchindi. 2020 samvatsaraaniki 86 vileenaalu pranaalika cheyabaddaayi; prastutam unna 191 samoohaalalo 45 saatam. 2020 april natiki 135 sisiji unnaayi.
2021 april 1naa, 38 sisijilu vileenam ayi 9 kotta sisijilu erpaddaayi.
sthaanika mandalulatho sambandhaalu.
october 2017loe, aarogya mariyu saamaajika samrakshana ekikarana boardu dwara, bryton mariyu hove clinical commissioning group konni sevalanu bryton mariyu hove city council andinche vaatitho vileenam cheyanunnatlu prakatinchaaru. boardu 2018 eprillo pani praarambhinchi, oka samvatsaram taruvaata puurti sevalanu andinchaalsi undhi, idhi nagaramlo aarogya mariyu saamaajika samrakshana yokka nakileeni nivaaristundi. december 2017loe grater manchesterlo padhi sisiji luu tama mandalitho "single commission function" nuu sthaapinche vividha dasallo unnaayi.
baadhyatalu mariyu baadhyatalu.
prati sisiji samuuham yokka sabhyudu praathamika vaidya sevalanu andinchina vyaktulaku mariyu saadhaaranamgaa samuuham yokka praantamloo nivasinche mariyu yea clinical commission group sabhyudu praathamika vaidya sevalanu andinchani vyaktulaku baadhyata vahistundi.
aarogya samrakshana sevalanu praarambhinchadam (ledhaa pranaalika, konugolu mariyu paryaveekshanha) dwara nirvahinchabadutunna sisiji luh
clinical commissioning groupulu tama sarihaddula lopala atyavasara mariyu atyavasara samrakshana sevalanu erpaatu cheyadaaniki mariyu vaari praantamloo nivasinche namodu kaani rogulaku sevalanu praarambhinchadaaniki baadhyata vahistaayi. anni jipi paddhatulu clinical commissioning groupuku chendinavi ayi undaali. sisiji yokka praantam anthaa oke unnata sthaayi sthaanika adhikara paridhiloo undaali.
praathamika samrakshana.
modata sthapinchabadinatlugaa, enhetchs ingland chetha niyaminchabadina mariyu nirvahinchabadutunna praathamika samrakshanaku sisijilaku etuvanti baadhyata ledhu, conny november 2014loe vaaru tama praantamloo praathamika samrakshana saha-commissionerluga maaradaaniki aahvaaninchabaddaru, paniteeru nirvahanaku baadhyata vahistaaru mariyu vaari sabhya jipi paddhatula budjetlu, paddhatulu mariyu gps gurinchi firyaadulanu nirvahinchadamtho sahaa.
2015 april natiki, 63 mandhi puurtigaa tolaginchina baadhyatanu chepattalsi undagaa, 87 mandhi "joint commissioning" nuu praarambhinchaalsi undagaa, indulo takkuva baadhyata untundi. prarambha sweekarthalu baga panichesinanduna mariyu idhi "sthaanika susthirata mariyu parivartana pranaalikaku keelakam" kabatti, 2017loe chaalaa mandhi sisiji luu jipi oppandaalaku baadhyata vahinchaalani pratipaadinchabadindi. october natiki vaaru kotta paddhatulanu sthaapinchagalugutaaru, viliinaalanu aamodinchagalugutaru mariyu abheeshtaanusaaram chellimpulanu nirvahinchagalugutaaru.
operation.
november 2014loe, saam everington adhyakshatana london baroe off tower hamlets clinical commissioning groupku, "balamaina naayakatvam, mukhyamgaa clinical naayakatvam chuttoo, roogi drushtini nilupukunnanduku" "health servies journal" "clinical commissioning group off dhi iyar" avaardu ichindi."
2015 maeloe, open university mariyu university college london nirvahinchina oka adhyayanamlo, clinical nayakulu "paie nundi vacchina aagnalu mariyu sandeshaalanu savaalu cheyadaaniki ledhaa vismarinchadaaniki mariyu vaari nirvaahaka sahacharulanu adhe vidhamgaa cheyamani prothsahinchadaaniki marinta siddhamgaa unnatlu anipinchindi". clinical nayakulu phalitaalapai ekkuva drushti pettaru mariyu prakriyalapai takkuva aasakti chuupaaru. vaaru prabhavam chuuputunnaarani bhaavinchinanta kaalam vaaru panulanu elaa chestaro vaaru nijamgaa pattinchukoru. puurti samayam clinical praakteesku tirigi vachhe avakaasam undatam antey vaidyulu "vaaru cheppe mariyu chese paniloo kontha swechhanu" anubhavinchaaru.
april 2018loe, abhyasa vaikalyalunna rogiki nirantara aarogya samrakshana kharchulanu teerchadamlo viphalamainanduku shropshire mariyu south worcestershire sisijilaku vyatiraekamgaa wolverhampton council nagaram teesukuvacchina vivaadamloo, mister justice garnham, sisiji vaari praantam velupala oka saadhaarana abhyaasakuditho namodu chesukunna roogi chikitsa kosam chellinchalemani teerpu icchaaru.
nidhulu samakuurustunnaaru.
2018/19 loe, inglaandlooni 195 sisijilalo £74.2 biliyanlu pampinhee cheyabaddaayi, idhi namodu cheyabadina rogiki £1,254 kuu samanam. nidhula suutram vruddha janabha unna sisijilaku, pattana praantaallo ledhaa marinta nirupeda praantaalalo ekkuva dabbunu ketayistundi. prati rogiki atyadhika ketayimpu naasseeki £1,645 mariyu oxfordshireku atyalpa £1,040. prati talaku nidhulu vaastava paramgaa 2013/14 mariyu 2018/19 madhya samvatsaraaniki 2 saatam perigayi.
commission.
2015loe, aarogya mariyu praja prayojana kendram anchanaa prakaram, praathamika samrakshana sevala oppandaalato sahaa inglaandlooni enhetchs mariyu private rangaala madhya sumaru 53,000 oppandaalu unnaayi, veetilo 211 sisijila vaarshika viluva sumaru £ 9.3bn thoo 15,000 unnaayi. vaaru mottam 211 sisijilaku samachara swechcha abhyardhanalanu pampaaru, private providerlatho oppandaalanu vaaru elaa paryaveekshistaaranee daani gurinchi samacharanni koraru mariyu sisijilu private providerlatho oppandaalanu samarthavantamgaa nirvahinchadamlo viphalamayyaayani nirdhaarinchaaru.
baine & companylo aarogya adhipati ayina christian mojji prakaram, septemberlo sisijilu tama private ranga oppandaalanu paryaveekshinchadamloo ledhaa naanhyata pramaanaalanu amalu cheyadamlo viphalamayyaru. 12 saatam mandhi private providerlanu sandarsinchaledu, 60 saatam mandhi alaa chesaro ledho cheppalekapoyaru.
april 2013loe, enhetchs ingland vividha rakaala sahayaka karyakalapalanu andinchadaaniki 25 commissioning sahayaka unitlanu erpaatu chesindi, veetilo ekkuvagaa praadhamika samrakshana trustla maajee udyogulu panicheesaaru. april 2015 natiki tender prakriya dwara maddatu sevalanu sekarinchaalani anni sisijilaku cheppabadindi. south linkenshire mariyu nairuti linkenshire sisijila modati tendarnu optamhealth moodu samvatsaraala paatu samvatsaraaniki 3 million poundla viluvatho geluchukundi. 2017 natiki prarambha maddatu jaabitaala sankhya enimidiki taggindi.
prothsaahakaalu mariyu sifaarsulu.
2015 septembarulo kaneesam 9 sisiji luu kotta out patient haajarulu, phaalo-aplu, eah & ii haajarulu mariyu atyavasara pravaesaalaku £11,000 varaku chellimpulatho sifaarsulanu tagginchadaaniki gpsnu oppinchadaaniki "naitikamgaa prashnaarthakamaina" prothsaahaka pathakaalanu erpaatu chesaayi. british medical associationku chendina chaand nagpal, vaatini roogi-doctor trustku "aardhika kalushitam" anie khandinchaaru. saadhaarana vaidya mandali maargadarsakatvam, "aardhika mariyu vaanijya erpaatlu mariyu prayojanaala sangharshanhalu" oka vaidyudu "rogulaku meeru soochinche, chikitsa chese, soochinche ledhaa commission sevalanu prabhaavitam chese yea prayojanaalanu anumatinchakudadu" anie andistundi, ayithe council "aarogya samrakshanhalo merugudalalanu nadipinchadaaniki aardhika mariyu itara prothsaahakaalu samarthavanthamaina maargamgaa undavacchani angeekarinchindi."
sevalapai parimitulu.
aarogya seva patrika 2015 eprillo ccgs paie nirvahinchina sarvelo moodinta oka vanthu kante ekkuva mandhi sevalaku praapyatanu parimitam cheyadam dwara dabbunu aadaa cheyaalani yochistunnatlu kanugonnaru.ii. aarogya samrakshana rationing, mukhyamgaa "parimita prabhaavavantamaina vidhanalu", padiatry, inn vitro phaladeekaranam, mariyu roogi aarogya amsaala aadhaaramgaa vidhaanaalaku praapyatanu parimitam cheyadam, udaaharanaku vaaru dhumapanam chestunnara ledhaa oobakaayam unnara, idhi phalitaalanu prabhaavitam chestundi.
jipi patrika "pulls" juulai 2015loe nirvahinchina ilanti sarvelo, aneka sisiji luu saadhaarana samrakshananu vividha margallo parimitam cheyaalani yochistunnatlu kanugonnaru.
2015 septembarulo jarigina maroe "aarogya seva patrika" sarvelo, sarvelo spandinchina 188 sisijilalo 34 sisijilaku konni sevalaku praapyata parimitam cheyabadindani telindi. parimitulu saadhaaranamgaa oka praantam antataa kalisi panichese aneka sisijilu pravesapettabaddaayi. nottinghamshire sisijilu sleep apnea kosam shastrachikitsa mariyu bhaarii ruthu raktasraavam, kovvu graftlu, juttu ksheenata, chevi marammattu mariyu gaddam, chempa ledhaa collagen implantla kosam garbhasaya tolagimpu kosam parimita praapyatanu kaligi unnaayi.
2020-2022 mahammariki pratispandana.
coronavirus mahammarini drushtilo unchukuni, 2020 marchi 23,27 tedeello aarogya mariyu saamaajika samrakshana saakha karyadarshi enhetchs commission bordunu private rangam nundi sevalanu konugolu cheyaalani aadesinchaaru, tadwara sisijilanu daatavesi. boardu taginadigaa bhaavinchinatlugaa, saadhaaranamgaa ccgs nirvahinche vidhulanu nirvahinchadaaniki enhetchs inglaandku kooda eee aadesam anumatinchindi. eee aadesam 2020 chivarilo prarambha gaduvu mugisindi, dheenini dasalavaareegaa 2022 marchi 31 varaku podiginchaaru.
niyantrana mariyu nyaya sameeksha.
anni sisijilu adhikara prakriya dwara vellavalasi vachindi. juulai mariyu december 2012 madhya, naalugu alala adhikaram undhi.
2014loe enhetchs ingland, birkenhead empi fraank feeled daani gurinchi aandolana vyaktam chesina taruvaata viral clinical commissioning groupunu parisoedhimchimdi. sisijilo emi maarchaalsina avasaram undane daani gurinchi kurchi mariyu cheef clinical officer "avasaramaina sannihita pani oppandaanni pradarsinchaledu" anie vaaru kanugonnaru. arov park hospitaltho senior nayakulaku unna sambandham gurinchi kooda prasnalu unnaayi. nivedika prachurinchabadina taruvaata, samuuham yokka paalana kosam kotta rajyangam roopondinchabadinappudu senior adhikarulu pakkana nilabadaalani ayana pilupunicchaaru.
october 2014loe enhetchs ingland ibbandullo unna sisijila kosam pratyeka charyala palananu pariseelistunnatlu nivedinchabadindi, veetilo sumaru dozenu unnayani cheppabadindi. haamii framework kinda, sisijilu "haamii", "maddatutoe haamii" ledhaa "haamii ivvabadaledu" gaa rate cheyabaddaayi. barnet sisiji matrame "haamii ivvabadaledu" anie rate cheyabadindi. augustu 2015loe jaarii chesina maargadarsakaalu, sisiji oka samvatsaraaniki paiga pratyeka charyalalo unte, enhetchs ingland "sisiji baadhyatala nirvahana, paalana ledhaa nirmaanamloo maarpulanu prerepinchagaladu, itara sisiji ledhaa sambandhita samsthalu sthaanika commissioner baadhyatala amsaalanu sweekarinche avakaasam undhi". aaa samayamlo, pratyeka charyalalo evaruu unchabadaledu.
november 2015loe, shropshire clinical commissioning group daani aardhika paristhiti ksheeninchina taruvaata pratyeka charyalalo unchabadindi. 2017 septembarulo, 23 sisijilanu enhetchs ingland dwara 2016-17 kosam saripovani anchanaa veyabadindi, aiduguriki chattaparamaina aadesaalu ivvabaddaayi mariyu rendu, levisham mariyu greenwitch, 2019 april varaku "levisham mariyu greenwitch enhetchs trustho oppandamtho sahaa daani teevramaina commission vidhulanu amalu cheyadaanni nilipiveyaalani" aadesinchaaru.
bristal sisiji sthaanika ottidi samuuham nundi chattaparamaina savaaluku lobadi undhi, maa nhsnu rakshistundi, vaaru tama nirnayaalalo rogulanu mariyu prajalanu nimagnam cheyadaaniki vaari prakriyalu saripovani paerkonnaaru. sisiji thana roogi mariyu praja prameyam vyuuham mariyu itara patraalanu savarinchadaaniki angeekarinchina taruvaata juun 2014loe nyaya sameekshanu upasamharinchukundi.

