Fears grow that PCT GPs may jump ship
The NHS Confederation and NHS Alliance are becoming increasingly concerned that GPs on primary care trusts are feeling sidelined over local decisions and may quit their posts.
In a recent report to the Modernisation Board, the confederation said PCTs were finding it ever harder to maintain 'clinical engagement'. It added there were concerns about who would replace professional executive committee chairs, many of whom finish their terms of office next April.
A recent survey by the NHS Alliance found half of the doctors and nurses in trust positions plan to leave within the next two years.
Dr David Jenner, lead professional executive committee chair for the alliance, said feelings among professional executive committee chairs were polarised between those who felt 'totally engaged' and those who felt sidelined.
He claimed GP professional executive committee chairs were often cut out of local decisions by accountable officers the lay chair, finance officer and chief executive.
He said: 'If you're a PCT with zero stars and a large deficit you don't have a lot of freedom for clinical services.'
The NHS Alliance is working on a discussion paper on what can be done to ensure clinicians remain at the heart of PCTs.
Dr Jenner said: 'Some professional executive committee chairs are beginning to see more opportunity to deliver change at practice level through PMS or possibly and potentially through the new GMS contract.'