r change placement), the transfer of GP-held clinical records is ‘fast-tracked’. 20. Commissioners, whether they sit within the responsible local authority, CCGs or NHS England, should commission services which meet the following requirements: • health professionals contributing to the care planning cycle for looked-after children should have the appropriate skills and competences and receive continuing professional development12 • providers have arrangements in place for relevant training and clinical supervision of professionals contributing to the healthcare of looked-after children, including those who are employed by the local authority • clinical governance and audit arrangements are in place to assure the quality of health services for looked-after children. The responsible commissioner 21. NHS England guidance Who Pays? Determining responsibility for payments to providers provides the framework for establishing responsibility for commissioning 12 See the Royal Colleges’ intercollegiate framework, Looked-after children: knowledge, skills and competences of health care staff. 14 an individual’s care within the NHS.13 Local authorities and CCGs should have agreed local mechanisms to ensure this guidance is followed when making placement decisions for looked-after children and for resolving any funding disputes that may arise. This is essential to avoid delays in looked-after children being assessed for, and accessing, the services they need. 22. NHS England expects that any disputes will be resolved locally, ideally at CCG level, with reference to the guidance in Who Pays? In cases that cannot be resolved at CCG level, NHS England should be consulted and should arbitrate where necessary. 23. When a child is first placed, the local authority looking after them has a