A joint report by the NHS Alliance and think-tank The Nuffield Trust says radical solutions are needed to ‘nudge clinically-led commissioning into life.'
Beyond PBC proposes multi-specialty groups of clinicians take responsibility for designing health services.
These ‘local clinical partnerships' (LCPs) should be given population-based budgets covering at least 100,000 people, the reports says. It also suggests adding incentives into to GMS and PMS contracts to get GPs to join an LCP.
PBC has become ‘unfit for purpose in its present form,' the report suggests.