Most GP consortia will not be ready by 2013

Many GP consortia will not be ready to commission by 2013 and 'may fail', commissioning experts have warned.

Dr Bewick: consortia not ready

Dr Mike Bewick, medical director for NHS Cumbria, where GP commissioning is well-developed, predicted just 20 per cent of consortia would be ready to take over PCT functions fully by 2013.

'You have to develop relationships with managers and other health professionals.

That takes a long time and there is a lot of pain,' he said.

Dr Hugh Reeve, GP and chairman of Cumbria's Westmorland Primary Care Collaborative, said that if GPs were not already working closely with their PCT on commissioning they would not be ready by 2013. He suggested that where there was a poor relationship between GPs and the PCTs, the PCT should be abolished sooner to stop GPs' progress being hindered.

'If there is a lack of trust or a poor relationship between GPs and the PCTs, I say, get rid of the PCT now,' Dr Reeve said.

'If you haven't got the relationship we've had over the past two years, I struggle to see how you can hand over commissioning effectively.'

Dr Bewick and Dr Reeve were giving evidence to an inquiry into the NHS White Paper by the All Party Parliamentary Group on primary care (APPG) in London last week.

Dr Reeve said that while GPs in some areas had been commissioning jointly with their PCT for years, 'some are starting from a point they see as war with their PCT'.

He called for the DoH to clarify what will happen to GP consortia that overspend.

'The government has to decide whether it will allow these organisations to fail because I think a lot will. 'If you look to the US, many similar organisations did,' he said.

Health minister Lord Howe, also giving evidence to the APPG, said it was 'only a short step' to convert a practice-based commissioning consortium into a GP consortium, and the reforms were on track.

Visit our White Paper resource centre

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published

Dr Zoe Norris

GPDF slashes costs and overhauls funding rules to 'restore trust' with GPs

The General Practice Defence Fund (GPDF) has cancelled contracts worth hundreds of...

Churchill Gardens

Scheme from Brazil helps address health inequalities in London practice

A scheme involving community health and wellbeing workers, which is based on a long-standing...

Talking General Practice logo

Podcast: How an initiative from Brazil could help general practice and improve outcomes

Dr Matt Harris and London GP Dr Connie Junghans Minton explain how an initiative...

Medical centre sign

One in three GP practices in Northern Ireland faced serious closure risk in past 18 months

One in three GP practices in Northern Ireland have faced a serious risk of closure...

BMA sign

BMA warns Treasury 'many practices' will close without emergency financial support

GP leaders have urged the Treasury to agree emergency funding to support general...


Practices can use £172m PCN cash to support staff pay rises, GP leaders say

Practices can use their share of Β£172m from the 2023/24 investment and impact fund...