NHS chief executive demands 'step change' in quality of primary care

The White Paper reforms must deliver a 'step change' in the quality of primary care, the NHS chief executive has said.

Sir David: ‘peer pressure’ alone was an effective tool in primary care
Sir David: ‘peer pressure’ alone was an effective tool in primary care

Sir David Nicholson told the National Association of Primary Care (NAPC) conference in Birmingham that the DoH was discussing proposals for consortia to hold GP contracts as a way to drive up standards.

But he said ‘peer pressure’ alone was an effective tool in primary care. Sir David predicted that the DoH official report on the White Paper consultation would contain ‘very few surprises’ as there had been broad support for most of the proposals from many organisations that responded.

‘The general thrust of the White Paper, I can see being taken forward,’ he said.

Sir David said details of management allowances for consortia would be published in the NHS Operating Framework in December. He said he was pushing for the allowance to be ‘as large as possible’.

The NHS chief executive predicted that the number of management posts in the NHS would fall from 100,000 to between 50,000 and 60,000 as a result of the NHS reforms. But he warned that consortia must re-employ many current PCT staff. It could cost consortia up to £1.5bn to ‘go out to other sectors and organisations’ to hire management support, he said.

Sir David insisted the reforms must not re-create existing structures. ‘If we end up with a re-badged set of organisations that would be a scandalous waste of time and skill,’ he said.

View all our White Paper news and analysis

News Blog: A Funny Feeling at the NAPC Conference

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

First COVID-19 jabs to target care home residents and staff under new JCVI advice

First COVID-19 jabs to target care home residents and staff under new JCVI advice

Older adults living in care homes and staff working there will be first to receive...

GPs unable to veto virtual fitness to practise hearings during pandemic

GPs unable to veto virtual fitness to practise hearings during pandemic

GPs facing fitness to practise investigations during the COVID-19 pandemic will be...

Government rejects major NHSPS overhaul - but changes 'could ease GP service charge disputes'

Government rejects major NHSPS overhaul - but changes 'could ease GP service charge disputes'

A government review has rejected calls for a major overhaul of an NHS Property Services...

RCGP urges GPs to collaborate with pharmacies on flu jabs this year

RCGP urges GPs to collaborate with pharmacies on flu jabs this year

The RCGP and the Royal Pharmaceutical Society have called on GP practices and community...

GP appointments rising fast as COVID-19 cases 'near 10,000 a day'

GP appointments rising fast as COVID-19 cases 'near 10,000 a day'

GP appointments have risen rapidly in recent weeks as schools returned, according...

COVID-19 impact on medical schools risks 'serious damage' to future NHS workforce

COVID-19 impact on medical schools risks 'serious damage' to future NHS workforce

Medical training and the future NHS workforce could be seriously damaged by the financial...