The Coalition, a joint enterprise formed by the NHS Alliance and the National Association of Primary Care (NAPC) to provide CCGs with ‘an independent, collective voice’, warned that the groups are facing mounting barriers to their success.
NAPC chairman Dr Johnny Marshall said clinical commissioning would become 'the lynchpin, the mainstay of the NHS', but faced ‘many obstacles’ that were emerging from within and outside the NHS.
NHS Alliance chairman Dr Michael Dixon said that CCGs must not be overburdened with bureaucracy. Many were reporting that ‘previously enthusiastic GPs are losing the will to live’ because they were swamped with guidance and bureaucracy, and felt as if PCTs were being reinvented.
‘If CCGs really are the NHS’ future they they should be given a far more dominant role in designing, planning and providing the detail for that future,’ Dr Dixon said.
‘If CCGs are to succeed the whole system will need shaking up. At the moment it looks more like a system continuing as normal trying to work out how CCGs fit within it.’
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