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

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered a huge increase in face-to-face appointments in the week before NHS...

RCGP facing legal action over stance on assisted dying

RCGP facing legal action over stance on assisted dying

The RCGP is facing legal action over its decision to remain opposed to assisted dying...

Medeconomics Live aims to help practices thrive under the new GP contract

Medeconomics Live aims to help practices thrive under the new GP contract

The one-day, virtual Medeconomics Live conference aims to provide practices with...

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GPs face wave of abuse and complaints after NHS England face-to-face appointments claims

GP practices have faced a wave of abuse and complaints after a letter from NHS England...

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

Government denies plan to make GPs 'gatekeepers' of COVID-19 testing

The government has denied plans to make GPs 'gatekeepers' of the struggling COVID-19...

Expansion of NHS 111 service could see direct GP booking extended

Expansion of NHS 111 service could see direct GP booking extended

Plans to expand NHS 111 under measures to prepare the health service for winter could...