Clinical care 'fabulous' but co-ordination could be better, says commissioning czar

Patients feel clinical care is 'fabulous' but the way in which it is co-ordinated could be improved, according to the NHS Commissioning Board's (NCB) commissioning czar.

Dame Barbara Hakin: 'It just seemed like no one knew what anybody else was doing.'
Dame Barbara Hakin: 'It just seemed like no one knew what anybody else was doing.'

‘This isn’t necessarily just about clinical pathways,’ Dame Barbara Hakin, the NCB’s national managing director for commissioning development,  told the International Integrated Care Summit at The King’s Fund in London on Tuesday.  ‘The way the system is administered can be just as important for patients.

‘The number of conversations I have had with patients where they say my clinical care was fabulous but it just seemed like no one knew what anybody else was doing.’

She added that practices were key because registered lists meant the GP practice was the place where all the information about patients came together. Dame Barbara added: ‘GPs co-ordinate patients’ care. It doesn’t mean they do all of it. The same applies to clinical commissioning groups (CCGs). They (GPs) won’t be doing all the commissioning.’

She added that now was a time to be ‘particularly vigilant’ because there were ‘more commissioners on the pitch’. Previously PCTs were responsible for the bulk of commissioning but now work would be carried out by CCGs, the NCB and local authorities.

Dame Barbara said that she was hopeful that before the end of this week the NCB would be able to release details of the first wave of CCGs to undergo authorisation.

Read our Inside Commissioning blog for the latest thinking on redesigning healthcare

GP magazine is a media partner for Commissioning 2012, an event in London on 27-28 June featuring over 700 GPs and primary care managers. Speakers are expected to include health secretary Andrew Lansley and NHS chief executive Sir David Nicholson.

 

  

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