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<p>NHS England's delegation agreement with the integrated care boards (ICBs) requires
each ICB to establish effective, safe, efficient, and economic arrangements for the
commissioning of delegated specialised services, with particular reference to statutory
obligations relating to health and care bodies, such as the triple aim.</p><p>The
delegation agreement supports these responsibilities, including following all relevant
legislation, guidance, and good practice. In commissioning delegation specialised
services, ICBs must: consider how they can meet their legal duties to involve patients
and the public in shaping the provision of services; work with local communities,
under-represented groups, and those with protected characteristics; consider how they
can address health inequalities; assist in the development of national standards,
including service specifications and clinical commissioning policies; support the
development of local clinical leadership and expertise in respect of specialised services;
support specialised clinical networks and clinical reference groups, including participating
in development and agreement of the annual plan for relevant clinical networks; and
work with providers as commissioners of specialised services, including management
of contracts and the annual contracting round, financial management, and working with
providers on identification and management of any issues relating to quality of services.</p><p>Appropriate
oversight and assurance arrangements are in place to assure the commissioning capability
and capacity of ICBs, and so that NHS England, as the accountable commissioner, has
the right mechanisms where support or intervention is needed, regardless of whether
a service is retained by NHS England or falls within scope of delegated commissioning
arrangements.</p>
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