Lansley to hand GPs greater freedom

The GP contract will be simplified to free GPs from DoH and NHS management interference, health secretary Andrew Lansley has said.

Mr Lansley: says DoH micromanagement has become 'absurd' (Photograph: Emilie Sandy)

In an exclusive interview with GP, Mr Lansley said the NHS Commissioning Board - which will hold primary care contracts - 'will not behave like PCTs', and will allow practices greater freedom.

CLICK HERE TO WATCH THE VIDEO

The level of DoH micromanagement in the existing contract has become 'absurd', said Mr Lansley, who described extended hours as 'madness'.

Mr Lansley said: 'We are expecting a greater clarity of the outcomes we are looking for and, subject to practices maintaining financial control, we expect greater freedom.'

Although changes to the 2011/12 contract are expected to be minor, Mr Lansley says a move to a single GP contract will bring 'clarity and simplicity' to primary care.

The new contract should encourage GPs to build their own services but without interference from managers, he said.

'We're looking for general practice to take responsibility themselves. In a locality every practice should have the opportunity to structure the nature of services they are providing in a way which is often a characteristic of PMS contracts as opposed to GMS contracts.'

GPC deputy chairman Dr Richard Vautrey urged Mr Lansley to end PCT micromanagement straight away.

'Many PCTs are continuing to act in this way, particularly with respect to reviewing PMS contracts,' he said.

'I hope we don't have to wait for the NHS Commissioning Board to be formed before his welcome aspirations become a reality.'

Mr Lansley said the board's performance management would be as 'light touch' as possible, with consortia effectively policing themselves.

But it will have the power to take over failing consortia, reappoint interim management or 'instruct neighbouring consortia to take over', he added.

The health secretary also ruled out rumours that revalidation is to be scrapped. He said he wanted to see the results of pilots to ensure the system's benefits outweighed its costs. 'I want to ensure it does the job we want it to.'

More from the interview: Lansley backs GPs to transform NHS

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in


Just published

X-ray sign

Spike in TB cases prompts public health warning

Cases of TB in England have risen by 7% compared with last year, prompting a warning...

COVID-19 vaccine

GPs demand investigation as winter vaccine 'mismanagement' risks patient safety

GP leaders in England have demanded an investigation into 'mismanagement' of this...

Medical centre sign

GP 'engineering' fears as small practice contracts offered on branch-only basis

GP leaders have raised concerns over the 'engineering' of general practice after...

Close up of BMA official picket armband

SAS doctors in England to hold indicative ballot on strike action

Specialist, associate specialist and specialty (SAS) doctors in England could join...

BMA sign

BMA to oppose expansion of physician associate roles amid safety concerns

Doctors' leaders will oppose government plans to expand use of physician associates...

Doctor strikes

Public strongly back talks and new pay offer to end doctor strikes

The general public believe the government should reopen talks to end doctor strikes...