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Darzi Review: Health Minister pledges to shake up practice based commissioning

By Gareth Iacobucci

Lord Darzi has pledged to kickstart practice based commissioning as part of his much-anticipated review of the NHS.

The review, launched today, admits that PBC has so far failed to deliver its aims, but vows to ‘redefine and reinvigorate' the flagging initiative.

The report promises more incentives to encourage a broader range of clinicians to become involved in PBC, and pledges to place greater scrutiny on PCTs to ensure better support to local commissioning groups.

Pulse first revealed last month that PBC would be addressed in the review, with Dr Mike Dixon, adviser to Lord Darzi, stressing the importance of transforming data quality and offering better incentives to GPs.

As well as strengthening PBC for existing GP commissioners, the Government's plan looks set to extend commissioning responsibility to a range of other providers, including community clinicians.

The report says: ‘We have heard the message that it (PBC) has not lived up to (its) aspiration. That is why we will work with the NHS and with the professions to redefine and reinvigorate it.

‘We will give stronger support to practice-based commissioning. This means we will provide incentives for a broader range of clinicians to get involved, so that it brings family doctors together with other community clinicians and with specialists working in hospitals to develop more integrated care for patients.

‘We will distinguish more clearly between the collaborative, multi-professional work involved in commissioning better care for GP practice populations and the role of GP practices in providing an enhanced range of services for their patients.'

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