Now with the likes of St Helens CCG being in financial meldtown, and receiving an 'inadequate' from the CQC, it can't be long before accountable officers across the country look at their pensions and decide enough is enough.
Being talked about on Radio 4 as 'just the first' of many CCGs might be some comfort, but not much comfort to the population you serve who are now having their care 'rationed' by their GP.
I do think there's a way round it. It's not too late.
Stop doing traditional general practice, stop thinking that referral management centres will work, instead operate a new model which pulls in specialist knowledge before a consultation in outpatients, which targets patients based on need and activation.
Sound too farfetched? Ok, come back to me in 2020.
- Dr Chris Mimnagh is a GP in Liverpool co-director of clinical strategy at the NHS partnership organisation Liverpool Health Partners