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Darzi Review: the review at a glance

The NHS Next Stage Review, conducted by health minister Lord Darzi and published on Monday, sets out the Government's vision for the NHS in England over the next ten years.

Among the highlights:

  • MPIG to go: the Government confirmed after months of speculation that it is to scrap the MPIG, and will ‘work with GP representatives to manage the phase out.'
  • QOF shake-up: A ‘new strategy' for developing the QOF is to be introduced, with ‘an independent and transparent process for developing and reviewing indicators'. New indicators of prevention and clinical effectiveness will be introduced, at the expense of a number of organisational and process indicators – and the Department of Health will ‘explore the scope' for PCTs to choose local indicators from a ‘national menu'.
  • Boost for GP commissioning: the review vows to ‘redefine and reinvigorate' the flagging PBC initiative, promising more incentives to encourage a broader range of clinicians to get involved, and pledging greater scrutiny of PCTs to ensure they support local commissioning groups.
  • Integrated care pilots: Ministers plan to pilot new integrated care organisations, which will see GPs working more closely with hospitals, community services and local authorities.
  • Speeding up NICE: NICE's appraisal process for new drugs will be drastically accelerated, to help reduce the ‘postcode lottery' of access to innovative treatments.
  • An NHS constitution: The Government will consult on a new NHS Constititution, setting out rights and responsibilities for patients, staff and NHS bodies – the draft constitution includes a patient's right to choice and a right to NICE-approved treatments.
  • Choice of GP practice: Patients to be given a greater choice of GP practice, with detailed comparitive information to help them choose posted on the NHS Choices website.
  • Focus on quality: GPs and other NHS providers will be required to publish ‘Quality Accounts', with reports to the public of the quality of service they provide, by April 2010. Quality in hospitals will also be incentivised, with payments to reward outcomes starting by 2010 at the latest.

Digesting Darzi: health minister announces his plans Digesting Darzi: health minister announces his plans

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