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<p>Clinical policies are developed by the appropriate service specific clinical reference
group and reviewed by the Clinical Prioritisation Advisory Group (CPAG). CPAG then
makes a recommendation whether to commission the service or treatment in question.
CPAG recommendations are ratified by the Specialised Commissioning Oversight Group
(SCOG).</p><p> </p><p> </p><p> </p><p>The length of time to produce a clinical commissioning
policy is variable depending on the complexity of the subject area. The timeline is
typically between 6-9 months but can be shorter.</p><p> </p><p> </p><p> </p><p>SCOG
has operational oversight of specialised commissioning and has delegated authority
to make decisions on the recommendations made by CPAG, which provides advice to NHS
England about any decision-making that defines access to clinical services. The Directly
Commissioned Services Committee, a sub-committee of the NHS England Board, oversees
the delivery of directly commissioned services within the overall strategy set by
NHS England. The SCOG reports to this committee.</p><p> </p>
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