Tuesday, June 21, 2011

GP Commissioning Is Already Creating a Two-Tier System

Exclusive: GPs are already operating in a two-tier NHS with different consortia moving at vastly varying speeds towards the Government’s relaxed deadline for taking on commissioning, a Pulse investigation reveals.
Seven GP consortia – now to be rebranded clinical commissioning groups (CCGs) – are already the de facto commissioning organisations in their areas, having taken on 95% or more of their PCTs’ budgets.
But 57% of consortia have taken on no budgetary responsibility from their PCTs at all, with warnings they have almost no chance of being ready to take on commissioning by the original April 2013 deadline.

The Government last week revealed only CCGs that were ‘ready and willing’ would be authorised to take on full budgetary responsibility from April 2013, as part of a package of concessions on the health bill.

But its claims that most GPs would be on schedule to take over commissioning by 2013 are undermined by our findings, which suggest only those areas that were already active with practice-based commissioning are likely to be ready in time. Of 90 PCTs responding to Freedom of Information Act requests, 38 have devolved at least some portion of their budget to local consortia. Some 14 of these, including NHS Suffolk, NHS Heywood, Middleton and Rochdale, and NHS Peterborough, have devolved budgets for prescribing and acute care.
NHS Isle of Wight has handed GPs budgets for first outpatient appointments and follow-ups, prescribing, continuing care, and direct-access diagnostics and imaging. NHS Nottingham City is one of four PCTs to have delegated mental health budgets along with a host of others, including maternity care, elective hospital care, urgent and emergency care, and ambulance and out-of-hours services.
Seven GP consortia now control almost the entire budget, including those in Cumbria, Cambridgeshire and Northamptonshire, all of which were active in PBC. But 52 areas, including NHS Medway, NHS Leicester City and NHS Plymouth, are yet to devolve any budgets.
Dr Peter Weaving, a GP in Brampton and commissioning locality lead for NHS Cumbria, said: ‘As of April 2011, we have 97% of the budget. It’s taken us three or four years – two to three was optimistic in the extreme. We’re making good progress but it would be disingenuous to say we’ve got it all sorted.’
Dr Nigel Watson, chair of the GPC’s commissioning and service development sub-committee and a GP in the New Forest in Hampshire – where the PCT has yet to pass any budgets to GPs – urged the Government to set an end date for full handover: ‘Quite a lot of consortia will not be ready by April 2013. But there has to be an end point and that’s not been clarified.'
A Department of Health spokesperson said: 'By April 2013, GP practices will be members of either an authorised commissioning consortia, or a “shadow” clinical commissioning group – one that is legally established but operating only in shadow form. This will ensure there is clarity about how different clinical commissioning groups cover the whole country without gaps.
'Were a clinical commissioning group is not able to take on some or all aspects of commissioning, the local arms of the NHS Commissioning Board will commission on its behalf.
'The NHS Commissioning Board will work with the GP practices and other stakeholders in these areas to develop fully operational consortia and hand over commissioning responsibility to them as they become ready, and in doing so, bring to an end the existing two-tier system of commissioning in the NHS.'

Link To: Revealed: How GP Commissioning Is Already Creating a Two-Tier System

The above proves that the government have not been listening and neither have they stopped these reforms, they have just re written them in different language and rebranded them, the government are treating the general public like fools.
The privatisation of the NHS continues at a pace and is already creating a two tier health system.


Robert said...

Under Blair, I went to my GP had a heart scan at my GP's he said you have had a heart attack, I say nope he said yes. He said I have phoned the ambulance and I've contacted the consultant, but look can you pay the £150 otherwise he will not be able to see you for six weeks. I paid the £150 and was seen that afternoon had an operation the next day.

My GP said it's highly unlikely you would now he here, I was seen by the consultant using an NHS nurse, in the NHS building, using the gas electric water which is paid for by the NHS.

I was told I had my operation because I was classed as being a private patients after paying my £150, the nurse said this week was his private patient week he has taken over two wards .

We have had this from the 1948 start of the NHS

Gracie Samuels said...

Robert what are you trying to say now? Let me tell you if this had happened to you under the Tories it would have been months before you were seen and then months before you had the op and by the way, cardiac waiting times had improved prior to Cameron's government taking control, now it is all going to pot and waiting times for appointments and operations and scans etc are now growing longer.