NICE issues stark warning over consortia outcome targets

Changes in public health, social and economic influences may obscure how commissioning affects outcomes that will decide whether consortia earn a quality premium, NICE has warned.

Dr Vautrey: 'Measuring any form of outcome is complex and needs to take many factors into account'
Dr Vautrey: 'Measuring any form of outcome is complex and needs to take many factors into account'

Concern about the proposed bonus for successful consortia is set out in NICE's response to the White Paper Liberating the NHS.

Where providers serve patients covered by more than one consortium, 'it may be difficult to determine whose commissioning is producing changes in a GP consortium's outcomes', the institute said.

NICE warned the premium needed careful planning and piloting and called for criteria to calculate how to share it among practices.

GPC deputy chairman Dr Richard Vautrey said: 'We would share concerns about this. Measuring any form of outcome is complex and needs to take many factors into account.'

Removing practice boundaries may further complicate efforts to track the causes of changes to outcomes, he said. This is because practices will be susceptible to social and economic factors from a wider geographical area.

NICE said more clarity is needed on the roles of consortia and the NHS Commissioning Board in managing practice performance.

It also expressed concerns about potential problems if populations covered by GP consortia do not match those of local

View our Commissioning Resource Centre

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

MPs demand urgent action on NHS backlog and routine COVID-19 tests for staff

MPs demand urgent action on NHS backlog and routine COVID-19 tests for staff

MPs have demanded urgent action to prevent avoidable harm to patients from the NHS...

Freeze QOF and deliver COVID cash or second wave will overwhelm GPs, BMA warns

Freeze QOF and deliver COVID cash or second wave will overwhelm GPs, BMA warns

GP practices will be unable to cope with a second wave of COVID-19 unless urgent...

Reducing our practice's carbon footprint by appropriate inhaler prescribing

Reducing our practice's carbon footprint by appropriate inhaler prescribing

Dr Vasu Siva explains how her practice is aiming to cut its carbon emissions by targeting...

RCGP chair warns of 'significant problem' over flu vaccine supplies

RCGP chair warns of 'significant problem' over flu vaccine supplies

The NHS faces a 'significant problem' with flu vaccine supplies as it aims to cover...

GMC overhauls consent advice to improve patient involvement in decisions about care

GMC overhauls consent advice to improve patient involvement in decisions about care

The GMC has overhauled its guidance on patient consent - setting out seven key principles...

Government must show evidence behind PPE strategy, warns BMA

Government must show evidence behind PPE strategy, warns BMA

Chronic shortages of personal protective equipment (PPE) across the NHS during the...