GP commissioning is hard to do well, says US academic

GP commissioning will not succeed unless there is adequate investment in management and leadership, a leading US health academic has said.

Talking at a Nuffield Trust event, Professor Lawrence Casalino, chief of the division of outcomes and effectiveness research at Weill Cornell Medical College, New York, warned that GP commissioning is ‘hard to do well’.

He said the policy would need to be handled ‘very well’ to avoid there being a large number of failures.

Professor Casalino cited the experience of Independent Practice Associations - the US equivalent of GP consortia - as evidence of this.

He said there is ‘no question’ that the vast majority of IPAs ‘failed badly’ by going bankrupt or by not improving patient care. ‘Of the 2000 IPAs that were set up, less than 200 groups were successful,’ he said.

Professor Casalino also set out the capabilities that successful consortia will need, including the need for adequate investment in management. ‘Don’t skimp on management funds,’ he said. ‘These organisations will not work without good leadership and management.’

He also called for the government to make things ‘better for GPs’ as a means of gaining support ‘rank and file’ from GPs. He said GPs must believe that the changes will significantly improve some or all of the following: quality of care for patients, the quality of their workday, respect from peers and income.

He said: ‘When there is one change after another it is very easy for physicians to be cynical. The government needs to look at how to make things better for GPs.’

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

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...

CVT risk from COVID-19 infection 'significantly higher' than from vaccines, study suggests

CVT risk from COVID-19 infection 'significantly higher' than from vaccines, study suggests

The risk of cerebral venous thrombosis (CVT) following COVID-19 infection is eight...

‘Warm and kind’ retired Derbyshire GP dies from COVID-19

‘Warm and kind’ retired Derbyshire GP dies from COVID-19

Retired Derbyshire GP Dr Om Prakash Chawla, who was known for his warmth and kindness,...

GPs can learn from pandemic to strengthen relationship with patients, says RCGP chair

GPs can learn from pandemic to strengthen relationship with patients, says RCGP chair

General practice can build on changes to care during the COVID-19 pandemic to strengthen...

Surrey GP practice targeted by aggressive anti-vaccination poster

Surrey GP practice targeted by aggressive anti-vaccination poster

Staff at a GP surgery in Surrey have been left completely demoralised after they...

JCVI issues final guidance on phase 2 of COVID-19 vaccination programme

JCVI issues final guidance on phase 2 of COVID-19 vaccination programme

The JCVI has confirmed the next phase of the COVID-19 vaccination programme will...