Consortia need written agreements over PCT power-sharing

GP consortia should not take on executive responsibility for commissioning or accept devolved budgets without written assurances about their legal liabilities, the GPC has said.

Dr Canning: the NHS is facing a period of ‘unmanaged change’
Dr Canning: the NHS is facing a period of ‘unmanaged change’

GPC contracts and regulations subcommittee chairman Dr John Canning told GP: ‘Pathfinder consortia need very clear agreements about what they are responsible for, how they arrange it and how they protect themselves.’

He said consortia would be forming potential unofficial partnerships with PCTs, and need written confirmation that individual GPs would not be at risk if patients claimed they had been denied treatment because of consortia commissioning decisions.

‘You need a clear set of principles about how PCTs share powers, devolve budgets and what the arrangements are,’ Dr Canning said. ‘These have to be written down in case of disputes – if you are being delegated powers there has to be a formal accountability agreement.’

He added that as PCTs were wound up, the NHS faced a period of ‘unmanaged change’. ‘That is potentially dangerous,’ he said.

He urged consortia to watch out for short-term PCT decision making. ‘All sorts of things could appear through the slots in the system that could leave nasty messes,’ Dr Canning warned.

The DoH is expected to set out its vision for consortia in more detail on Wednesday in the NHS operating framework and its formal response to the consultation on the NHS White Paper Liberating the NHS.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Javid must offer 'clear public backing for GPs', warns BMA

Javid must offer 'clear public backing for GPs', warns BMA

The BMA has demanded 'clear public backing' for general practice from the government...

How has COVID-19 impacted on continuity of care in general practice?

How has COVID-19 impacted on continuity of care in general practice?

Dr Jessica Farrell and Dr Kamal Sidhu look at clinicians’ views of how the pandemic...

‘Sick to the back teeth of press saying we're closed’ - GPs condemn media attacks

‘Sick to the back teeth of press saying we're closed’ - GPs condemn media attacks

After media campaigns criticising GPs on face-to-face access, doctors have spoken...

Podcast: GP access row, improving menopause care, COVID-19 boosters

Podcast: GP access row, improving menopause care, COVID-19 boosters

The team discusses the current media storm around face-to-face access, COVID booster...

Face-to-face GP appointments on demand 'unachievable', warns RCGP chair

Face-to-face GP appointments on demand 'unachievable', warns RCGP chair

Calls for general practice to offer face-to-face appointments to all patients who...

Cornwall PCN wheels out electric car fleet to reduce carbon footprint

Cornwall PCN wheels out electric car fleet to reduce carbon footprint

Staff at a primary care network (PCN) in Cornwall have committed to reducing their...