GP-led firm leads way on White Paper reform

GP's website broke the story last week that a GP-led firm has become England's largest provider of general practice services in a bid to form a network of commissioning consortia.

Over the next two years, The Practice group, a GP-led firm, will create a federated network of regional consortia, each consisting of 20-25,000 patients. This was possible after practices run by Chilvers McCrea, another GP-led firm, merged last week into The Practice, to form the biggest private GP practice provider in England and Wales, with a total of 50 practices.

This vision of GPs leading commissioning consortia is at the heart of health secretary Andrew Lansley's health White Paper.

At the time of writing, the DoH's response to the White Paper consultation appeared imminent and the NHS Operating Framework detail, when consortia will discover how they won't be saddled with PCT debt and also what management allowances will be, is expected on 15 December.

This detail couldn't come soon enough for the GPs and managers involved with commissioning at the NHS Alliance annual conference in Bournemouth last month.

Many asked, quite reasonably, how they were expected to start planning for consortia when they didn't know the operating budgets?

The merger of Chilvers McCrea into The Practice lends credence to the theory that consortia will consolidate and England could potentially ape what happened in the Netherlands where 60 health funds shrank to a dozen insurance companies of whom four hold almost 90 per cent of the market.

It also increases the likelihood that consortia will make back office savings, despite denials by health minister Lord Howe, and raises the question of how sustainable the partnership model of general practice is in an NHS where firms are increasingly influential?

The strong links The Practice has with secondary care and its emphasis on GP training will stand it in good stead.

It's a firm that is clearly leading the way on White Paper reform and should be applauded for having GPs at its helm.


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 to place orders for COVID-19 vaccine as NHS targets second dose at 12 weeks, says Stevens

GPs to place orders for COVID-19 vaccine as NHS targets second dose at 12 weeks, says Stevens

GP-led vaccination sites will be able to place orders for COVID-19 vaccine supplies...

RCGP and Marie Curie urge GPs to adopt end of life care standards for care homes

RCGP and Marie Curie urge GPs to adopt end of life care standards for care homes

Best practice standards to help GPs improve end of life care in care homes despite...

Thank your team for their inspirational work during the COVID-19 pandemic #myGPteam

Thank your team for their inspirational work during the COVID-19 pandemic #myGPteam

Never has teamwork in general practice been more important than during the COVID-19...

BMA mourns 'dark death toll' as UK passes 100,000 COVID-19 deaths

BMA mourns 'dark death toll' as UK passes 100,000 COVID-19 deaths

More than 100,000 people have now died from COVID-19 in the UK, five times the death...

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...

Viewpoint: End-of-life care in care homes goes well beyond COVID-19

Viewpoint: End-of-life care in care homes goes well beyond COVID-19

Best practice standards for GPs and teams caring for older people in care homes -...