DoH plans 20 per cent hospital admission cuts

Hospitals could be forced to cut admissions by 20 per cent if they want to run community services, the NHS chief executive says.

Mr Nicholson: decision imminent
Mr Nicholson: decision imminent

David Nicholson told the National Association of Primary Care (NAPC) conference in Birmingham last week that a decision on whether PCTs had to outsource community services would be made next month.

He added that a target could prevent acute trusts that run community services from focusing too much on hospitals. One idea was for them to submit plans to cut admissions across their services by 20 per cent.

Matthew Swindells, former DoH adviser and now managing director (health) for consultants Tribal, said hospitals would need to see 20 per cent fewer patients to save the £20 billion the NHS wants between 2011 and 2014.

GPC chairman Dr Laurence Buckman warned: 'GPs will be concerned if services are diminished in hospitals without providing appropriate and equivalent services in the community.'

An NAPC manifesto launched at the conference backed 'foundation practices' with real budgets forming larger 'community health collaboratives'.

Mr Nicholson also said that PCTs and SHAs cost £1.4 billion to run and the money could be better spent. The NAPC would welcome using part of this to revitalise practice-based commissioning (PBC). A DoH PBC push is expected next month.

Dr Peter Smith, NAPC vice president, said: 'I would like to see more management devolved down to practice level to start doing PBC effectively.'

More news from last week's NAPC conference

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

Professor Dame Clare Gerada elected RCGP president

Professor Dame Clare Gerada elected RCGP president

London GP Professor Dame Clare Gerada will become the new president of the RCGP,...

GPs lead COVID-19 vaccine drive as jabs stall in younger adults

GPs lead COVID-19 vaccine drive as jabs stall in younger adults

GPs have urged young people to come forward for COVID-19 vaccination with jab uptake...

GPs leading PCNs report heavy workload and limited impact from ARRS

GPs leading PCNs report heavy workload and limited impact from ARRS

PCN clinical directors are facing burnout and struggling to develop their networks...

UK COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...

RCGP online exhibition celebrates women in general practice

RCGP online exhibition celebrates women in general practice

An online exhibition celebrating women’s contribution to general practice over the...

MPs back campaign against reforms that 'threaten fairness of fitness to practise cases'

MPs back campaign against reforms that 'threaten fairness of fitness to practise cases'

Plans to scrap the 'five-year rule' and categorise doctors with health concerns as...