Of all current senior NHS managers, few can claim to have played a greater role in shaping the role of general practice than Dame Barbara Hakin (pictured).
A fixture in the top tier of NHS management for the best part of a decade, Dame Barbara was part of the DoH-side negotiating team that agreed the 2004 new GMS contract.
She has been at the heart of multiple rounds of GMS contract renegotiations and GP pay freezes as lead NHS Employers GMS negotiator since 2006, while holding down the role of chief executive at NHS East Midlands SHA.
Her central role in GPs’ future is set to last a while longer after her appointment as NHS managing director of commissioning development, responsible for helping 'the clinical and managerial community engage’ as commissioning shifts to GP consortia.
Dame Barbara no longer calls herself a GP, but worked as one for 20 years after qualifying as a doctor in the late 1970s.
'Serendipity has played such an enormous part in my career so far so I think I would just like that to continue.'
NHS chief executive David Nicholson made the appointment in a letter to NHS staff after the White Paper ‘Liberating the NHS’ was published.
Dame Barbara co-wrote a letter with GPC chairman Dr Laurence Buckman to remind PCTs of their duty to support prevalence losers
Working with then health secretary Patricia Hewitt, Dame Barbara said in 2007 that GP profits had risen too far under new GMS, and pledged to address the ‘ratio of profits to expenses’.
GPC leaders angrily dismissed a letter from Dame Barbara in which she claimed that: ‘We have agreement that, where relevant, increases to the global sum will reduce correction factor payments and support the phasing out of MPIG.’