LMCs to vote on opposing 'alarming' CCG co-commissioning plan

GP leaders will vote on whether to oppose CCG co-commissioning of GP contracts at the annual conference of LMCs later this month, it has emerged.

NHS England chief executive Simon Stevens recently launched plans for CCGs to bid to share primary care commissioning
NHS England chief executive Simon Stevens recently launched plans for CCGs to bid to share primary care commissioning

A motion to be proposed by Nottinghamshire LMC will warn that the plan, first announced in NHS England’s Call to Action report in March and launched by chief executive Simon Stevens last week, could harm CCGs’ credibility.

The move would ‘fatally damage relations between CCGs and their constituents’, the motion will warn, and ‘undermine their chances of success in other areas of commissioning'.

Motions passed by LMC representatives at the annual conference are used to set GPC and BMA policy. 

Nine LMCs are opposing the plans that could see CCGs sharing commissioning responsibilities for general practice with NHS England local area teams. Just one LMC submitted a motion supporting the proposals.

Health secretary Jeremy Hunt said last week the move would set CCGs free to be the ‘guiding lights’ to ‘craft the entire out-of-hospital plans’ in their areas. The plan was ‘even bigger and more ambitious’ than the creation of CCGs a year ago, he added.

MPIG cuts 'devastating'

A separate motion, proposed by Leeds LMC and incorporating proposals from 13 others, calls last year’s NHS reorganisation a ‘shambles’ and condemns the consequent fragmentation, undermining of care, and delayed payments.

Elsewhere, the agenda for the LMCs UK Conference 2014, which will take place in York on 22-23 May, is dominated by GP concerns over workload and funding pressures.

A motion from Morgannwg LMC warns that services are in danger of collapse because of unsustainable workload with an ‘imminent risk to the safety of patients’.

Avon LMC will move that MPIG and PMS cuts will be ‘devastating’ and ‘seriously jeopardise the viability of many practices’. The motion calls on the GPC to push for specific funding for rural practices and those caring for particularly vulnerable populations.

Lewisham LMC will propose that any funding review should contain allowances for rurality, deprivation, migrant populations, and turnover.

Following the government announcement in March that GPs would receive just 0.28% funding uplift to pay for a 1% pay rise, LMC representatives will vote on a motion condemning the DDRB recommendation as ‘unacceptable’ and ‘influenced too heavily’ by ministers’ claims that only 1% is affordable. 

The motion asks GPC to consider whether GPs should ‘continue to participate in the DDRB arrangements’.

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