In Frimley a joint finance director already sits on the trust board but still holds an honorary contract with the local CCG arrangement.
One contributor is looking to appoint a single joint accountable officer for both CCG and provider organisations. Local systems are working to develop their own leaders. The changing commissioner/provider relationship will require a different sort of leadership and in light of this some contributors called for more national support for current and emerging system leaders. NHS leaders are used to sitting on different sides of the commissioner/provider divide, with conversations traditionally based on negotiation. The leadership style and skills required to drive and deliver system-wide change is different from what most current leaders have grown up with.
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