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GPs' PBC incentives needed

GPs will need to incentivise and involve the wider primary health care team to make practice-based commissioning work, a new report finds.

Bringing in nurses, health visitors, community matrons, and pharmacists could also solve potential conflicts of interest between commissioning and providing services, the joint NHS Alliance/Primary Care Contracting report concluded.

If these 'micro-commissioners' were not involved, they would become disillusioned and could undermine what practice-based commissioners were aiming to achieve, it said.

Dr Mike Dixon, chair of the NHS Alliance, said: 'There will be a time when these professionals need to be reimbursed for commissioning work they do at a pro rata level.

'You can't ignore the expense generated outside the GP's surgery.'

Dr Brian McGregor, a member of a large commissioning consortium in York, said it would be 'well worthwhile' offering incentives to other health care workers.

He added: 'It would also be nice for GPs to have incentives too as there's little reason to get involved at the moment.'

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