Viewpoint: Dear CCG board member, what have you done to transform practices?

OK, this blog is likely to get me hate mail but I think it needs saying.

Dear CCG member,

You can’t have missed the stories about practices likely to close due to loss of MPIG. You can’t have missed out on the RCGP campaign that shows GP land has had funding cuts in real terms over the last few years.

It doesn’t take a genius to work out that eventually the squeeze would be on primary care

You might have missed out on the fact that our local trust has been making efficiency savings through cost improvement plans for the last four or five years.

Let's face it, it doesn’t take a genius to work out that eventually the squeeze would be on primary care, or did you really think that being a CCG board member would spare you the pressure?

OK let’s assume for a moment you worked that out. Let’s assume you realised when you were squeezing the contract for the local trust that you were making a rod for your own back.

What did you decide to do to balance the equation?

When you could see that less money or more work was the choice which lesser evil did you choose?

Did you beef up the community services in the hope that they would bear the burden?

Did you honestly think that would be enough?

What have you done in your practice to maximise the efficiency? What transformations to deliver productivity have you managed through the practice?

Maybe you did some work in-house but even so as a leader in the locality what have you done to transform the practice down the road?

I know these are just questions, I know you will have an answer, after all you are a CCG board member in the system with a vision for primary care that will change your own practice, root and branch.

Oh, you haven’t? That’s NHS England? Really?

I’m sorry I mistook you for a leader.

Sincerely,

One of your GPs.

  • Dr Chris Mimnagh is a GP and co-director of clincial strategy at Liverpool Health Partners.

Photo: UNP

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