Rift forms over who should manage GP contracts

The NHS Confederation has joined calls for GP consortia to manage GP contracts, while the NHS Alliance has opposed such proposals.

The White Paper proposes that England's 8,000 GP contracts will be held by the new NHS Commissioning Board. But both the NHS Confederation and the National Association of Primary Care have now called for the contracts to be held or at least overseen by GP consortia

The NHS Alliance, which also published its response to the White Paper consultations this week, says GP consortia should not hold GP contracts or they will become 'local enforcers'. 

Dr Michael Sobanja, NHS Alliance chief executive, said 'the direction of travel is right.'

The NHS Confederation response argues the government should 'give the NHS Commissioning Board the power to delegate responsibility for contract management of GMS and PMS contracts to GP consortia where appropriate.

'If GP consortia are not directly holding the GMS/PMS contracts of local practices, they will need some other powers to intervene when a practice’s performance as a primary care provider is impacting on the overall performance of the consortium.'

The NHS Alliance said that the NHS Commissioning Board 'should delegate the power to hold
providers to account, but retain the responsibility for contractual performance.'

This would prevent mean GP consortia act as collectives rather than being 'used as local enforcers,' the report said.

The NHS Confederation has published a comprehensive set of papers in response to the consultation - but warns the scale and cost of the reform will distract the NHS from the financial challenge it faces.

The NHS Alliance says the reforms offer significant opportunity to improve services and says the timescale is manageable. Dr Michael Sobanja, NHS Alliance chief executive, said 'the direction of travel is right.'

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

Former Brexit secretary backs vitamin D supplements to beat COVID-19

Former Brexit secretary backs vitamin D supplements to beat COVID-19

The NHS should provide 10 times the current daily recommended amount of vitamin D...

Identifying patients experiencing domestic violence and abuse in general practice

Identifying patients experiencing domestic violence and abuse in general practice

Dr Vasumathy Sivarajasingam describes a pilot project in her practice that used a...

Long COVID could ‘wreak havoc’ on NHS workforce and disrupt vaccine rollout

Long COVID could ‘wreak havoc’ on NHS workforce and disrupt vaccine rollout

High rates of COVID-19 infection and the impact of long COVID could 'wreak havoc'...

GPs can give COVID and flu jabs at same time, says NHS England

GPs can give COVID and flu jabs at same time, says NHS England

GPs can now administer COVID-19 and flu jabs at the same time, according to updated...

Areas hit hardest by COVID-19 fall behind on vaccine campaign

Areas hit hardest by COVID-19 fall behind on vaccine campaign

Regions of England hit hardest by COVID-19 cases have fallen behind the rest of the...

COVID-19 pandemic drives first recorded dip in patients registered with GPs

COVID-19 pandemic drives first recorded dip in patients registered with GPs

A rise in deaths and reduced immigration during the COVID-19 pandemic saw the first-ever...