NHS Alliance to push for reform of tariff system

NHS tariffs under the 'Payment by Results' system have hamstrung commissioners and must be converted into maximum payments rather than a flat fee, the NHS Alliance believes.

Dr Mike Dixon
Dr Mike Dixon

The cost-saving proposal comes as part of a 'spring clean' of NHS policy the alliance will set out at its annual conference later this month.

It will appear in a document titled 'Sustaining the Vision' which will look at how to maintain services in tough economic times.

NHS Alliance chairman Dr Michael Dixon told GP that the conference would also see a renewed push for greater clinical involvement in NHS management.

'It's time for a complete spring clean of the NHS from top to bottom, with a redrawing of relationships between clinicians and managers,' he said.

Policy papers will also be launched during the conference on boosting patient involvement and integrating primary care with other parts of the NHS.

Dr Dixon added: 'If the NHS is going to make ends meet, we need to have a handle on the costs of patient care and how we improve public health.

'GPs need to become local public health physicians. Without that I can't see how the NHS will balance the books,' he said.

The NHS Alliance conference takes place in Manchester on 20 and 21 October.

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