DoH primary care czar Dr David Colin-Thomé said that service changes could be achieved through practice-based commissioning (PBC) schemes and by avoiding existing duplication in areas like post-operative checks, rather than contractual changes or cash injections.
He said that there had already been sufficient DoH investment in premises and added that peer pressure could be ‘one hell of a driver' as patients played practice services off against each other.
For example, he said that GPs could work shift patterns to open later without spending more.
His comments came as he launched a report outlining proposals for which services could be brought into primary care. He also revisited the idea of a practice accreditation scheme, proposed by the RCGP, so patients can make informed decisions about GPs (GP, 29 September 2006).
The report, ‘Keeping it Personal', says: 'We do not wish to have a star ratings system but to find a mechanism that will further reassure patients that their practice is operating within the highest clinical and managerial standards.'
The report includes the concept of GPs doing some post-operative checks (GP, 12 January).