Cookie policy notice

By continuing to use this site you agree to our cookies policy below:
Since 26 May 2011, the law now states that cookies on websites can ony be used with your specific consent. Cookies allow us to ensure that you enjoy the best browsing experience.

This site is intended for health professionals only

At the heart of general practice since 1960

Conservatives pour cold water on ICOs

Integrated care organisations are not necessary to create seamless care pathways, according to shadow health secretary Andrew Lansley.

Integrated care organisations are not necessary to create seamless care pathways, according to shadow health secretary Andrew Lansley.

Speaking at the 10th annual NAPC conference, Mr Lansley said Conservative plans for PBC would negate the need for organisations to deliver integrated care.

The Tory plans include devolved budgets, more GP commissioning responsibility and separation of providing from commissioning.

Mr Lansley said: ‘I'm going to pour cold water on integrated care organisations. I don't think you need new organisations. Integrated care should be a central task of primary care commissioners who have these budgets and responsibility.'

He went on to say that with a separation of commissioning from providing, commissioners would be ‘focused on patients and not on monetary decisions about what needs to be provided'.

‘This means they will be thinking about integrated care – you don't need an organisational structure to make that happen.'

Mr Lansley ruled out a return to fundholding because of the ‘two-tierism' it created in the NHS and conflicts of interest, with GPs being both commissioners and providers.

He said: ‘Fundholding and indeed PBC have not cracked how to deal with conflicts of interest. One of the things that undermined fundholding was the occasional abuses of people with a duty to spend their patients' budgets on provider services that then went back into their own pockets.'

He added that practice-based commissioning would be more successful than fundholding because of the creation of contractual frameworks with providers and hospital tariffs.

But there was still a need to devolve budgets and shift commissioning power to GPs, he said, with commissioners having contracts with providers rather than through their PCT.

Dr Johnny Marshall, NAPC chair, said the NAPC would meet Mr Lansley in the new year to explore some of the issues.

Andrew Lansley: ICOs have no place in Tory plans Andrew Lansley: ICOs have no place in Tory plans

Rate this article 

Click to rate

  • 1 star out of 5
  • 2 stars out of 5
  • 3 stars out of 5
  • 4 stars out of 5
  • 5 stars out of 5

0 out of 5 stars

Have your say