The Review of Public Administration (RPA) provides for local commissioning arrangements to be developed at a level below local commissioning groups.
To give effect to that ministerial commitment my officials have been consulting with relevant stakeholders regarding who best to secure the involvement of clinicians and others in local integrated primary case-based commissioning. Uniquely in Northern Ireland, this will embrace social care as well as health services. The intention is to place responsibility for the commissioning of safe, effective and responsive services with local physicians and other health and social care professionals. Active engagement with service users and carers will also be a key feature of the new arrangements. The aim is to secure improved services which are more sensitive to the needs of individuals.
Final decisions regarding the way forward have, however, yet to be taken.