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'Cynical GPs' put chronic disease revolution at risk

The Government's planned US-style revolution of chronic disease management faces a lack of funding, a shortage of UK evidence and the widespread cynicism of GPs, leaders of Evercare pilot projects have admitted.

Their concerns, aired at a recent Department of Health meeting, came as the Government decided to press ahead with a roll-out of 'active case management programmes', as reported in Pulse last week.

And the Government's enthusiasm for the case management approach pioneered by Evercare took a new twist when the Prime Minister's health policy adviser, Simon Stevens, said he was quitting to join United Health Group, the US company behind Evercare.

Project leaders said it was difficult encouraging investment without 'robust financial modelling or more certain outcomes'. They cited difficulties 'bringing cynical GPs on board' and said proper evaluation should take place.

Chris Ham, director of the department's strategy unit, said once involved GPs became very supportive.

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