You're probably running XP, but your point is well made.
The bigger issue is that the staff have the right tools to do the job - buying cheap saves money today, but it doesn't last. If you invest in quality it will pay it back over time.
Can I have some sweets, please?
It's almost as if the government relies on ideology-based commissioning rather than evidence-based (or even common sense!).
"The regulator said it would be working with NHS England and the NHS Trust Development Authority to support trusts to meet their targets this winter."
It always amazes me this phrase, "to support". What this in actual fact means that the TDA and/or NHS England will be scheduling urgent mandatory-attendance meetings with little or no notice, so they can ask trusts the question 'what are you going to do about it'. That's not what support is.
I suspect that this is 99 practices closing, if the number of mergers were taken into account then this would be a lot higher. At the pct I used to work for, the number of practices dropped by 7; 3 closures and four mergers.
'Dramatic' changes to GP contract by next April as Hunt spells out detail of general practice reform
Hunt, what a health genius. He must have a lot of experience, presumably from watching shows on Sky.
He is 'confident' that these changes will be implemented by April 2014 though, which means that he assumes that this is a done deal and will involve no negotiation. Which further demonstrates his capability and ability as NHS-Guru.
Well it's about time we tried to make "GPs play an ‘even stronger role" - maybe the whole system should be reformed at great expense with GPs as leads controlling billions of pounds of the commissioning budget....wait....
I never understand consultations like this - if you ask everyone what they would like to see from GPs, they'll tell you that they want 24-hour, round the clock care, access to a GP by phone, email, videochat, home visits, referrals to consultants for everything, prescriptions for everything, and a cup of tea and a biscuit with every visit. It's just not feasible.
It sounds like they're just trying to discredit general practice by making it seem like there are massive failings now.
I'm getting a Lord of the Rings flashback....Dark Lord LansleyHunt creates CCGs and gives them to mortal men, but it's the illusion of power and brings them all under his control. Either way CCGs aren't really in charge and we're all headed to Mount Doom.
The thinking behind procuring a service like this always is "We define what we want, and choose the best provider that meets our quality standards".
The issue is that, like with the 111 tender, reliable and not-for-profit providers are more expensive and the procurement is usually awarded to a private provider that can tick all the right boxes in the procurement. They will inevitably either provide an unsustainable service, or the bare minimum to maintain their profit margin.
And yes, you could argue that strong contract management skills can ensure delivery of the service, but lets ask the people managing the 111 debacle how that's going...
Budgetary uncertainty, doubts over CCG plans and 10,000 redundancies: NAO report picks apart 'challenging' 1 April transition
Wait until they work out how much the consulting companies have been paid by the CCGs during the transition. To say nothing of the amount it will have costed to put some of these managing consultants onto contracts for senior roles.
These reforms are expensive and mostly unnecessary.
I can't help but to laugh. I got made redundant as part of the reforms and not sure I can fully explain how glad I am to be out of some of this BS.
As an ex-PCT manager I'm almost glad I was made redundant (well, almost) - this system seems completely unworkable, presumably the brainchild of someone who hasn't got a clue. It's flawed, expensive and likely to cause more issues and lapses in care than the 111 rollout.