SHAs exclude GPs from Darzi debate

The groups formed to discuss clinical care for Lord Darzi's review of the NHS have been dismissed as 'a sham'.

Both the BMA and the RCGP complained that many SHAs' care pathway groups were dominated by professional executive committee (PEC) members and contain few or no ordinary GPs.

Each SHA was asked to set up groups to discuss eight core clinical pathways, in order to feed back their conclusions for the final stage of Lord Darzi's review of the NHS.

The BMA was allowed to nominate doctors who would provide expertise to each of the groups, but many were not included.

Yorkshire and Humber SHA in particular fielded no BMA-nominated GPs.

Dr Russell Walshaw, chief executive of East Yorkshire and Lincolnshire LMC, said four very good GPSIs were ignored in favour of GPs with PCT links.

'When we looked closely at the names we found the groups were predominately made up of PEC chairmen and medical advisers to PCTs. It didn't seem to represent your average, working, non-political GP,' he said.

'We think it's a bit of a sham. The Darzi review looks predetermined and just representing the PCTs' view. It's just one more bit of evidence that the results of the review are already decided.'

GPC deputy chairman Dr Richard Vautrey said: 'It will be very interesting to see if different areas come to different conclusions. They may have been given the blueprint already.'

RCGP chairman Professor Steve Field said: 'In discussion about quality of care you should look outside your normal management structures.'

Professor Chris Welsh, clinical champion for the 'NHS next stage review' in Yorkshire and Humber, said: 'Given the need to limit the size of the clinical pathway groups we have not been able to include all of the names put forward by a large number of professional groups and others.'

He said that a separate group of primary care experts had been established to advise the care pathway groups.

tom.ireland@haymarket.com

Comment below and tell us what you think

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

MHRA approves Pfizer/BioNTech jab paving way for COVID-19 vaccination to start

MHRA approves Pfizer/BioNTech jab paving way for COVID-19 vaccination to start

The MHRA has approved the Pfizer/BioNTech COVID-19 vaccine for use in the UK and...

Enhanced service contract for GP practices delivering COVID-19 vaccine revealed

Enhanced service contract for GP practices delivering COVID-19 vaccine revealed

GP practices have until midnight on 7 December to sign up to a COVID-19 enhanced...

Five GP practices a week inspected by CQC during pandemic second wave

Five GP practices a week inspected by CQC during pandemic second wave

The CQC has inspected five GP practices a week in England since the second wave of...

Pregnant women and under-18s will not be offered COVID-19 vaccine

Pregnant women and under-18s will not be offered COVID-19 vaccine

Pregnant women, children and under-18s will not be recommended for routine COVID-19...

GP training: How an audit e-portfolio log entry is assessed

GP training: How an audit e-portfolio log entry is assessed

The second of two articles on audit during GP training looks at how the quality improvement...

GP training: Writing up an audit for your e-portfolio

GP training: Writing up an audit for your e-portfolio

In the first of two articles on how to write up an audit, a typical e-portfolio entry...