Most GP practices avoid practice-based commissioning

The majority of practices have still never commissioned a service using practice-based commissioning (PBC), a DoH survey has revealed.

Figures from the first quarter of 2008 show that the scheme is slowly gaining support from GPs, but 51 per cent of practices have still never commissioned a service directly through PBC.

The survey of sample practices from each PCT revealed that while 57 per cent of practices have now agreed a commissioning plan, only 41 per cent have begun to commission services. And 49 per cent of practices surveyed said managerial support from their PCT was poor.

Dr Michael Dixon, chairman of NHS Alliance, said there had been no significant change since the first PBC survey last year. PBC was effectively being ‘sabotaged' by a lack of accurate information about local populations, he said.

Dr Dixon called for ‘firm action to put it right'.

Despite 56 per cent of GPs supporting the concept of PBC, just 16 per cent believe it has improved patient care so far.

Ispos MORI compiled the report for the DoH from 1,998 responses to postal and telephone surveys.

PBC report

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