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GPs told to rebel against poor 'PCT-down' ideas

By Nigel Praities

GPs have been encouraged by a top DH official to launch a rebellion against NHS managers if they are forced to use services they are not happy with.

Speaking at the National Association of Primary Care annual conference in Birmingham, Gary Belfield, director of commissioning at the Department of Health, said it was a good thing for GPs to be disruptive and challenge their PCT at a local level.

‘If people are trying to prescribe from the PCTs down, then it is not going to work, so I would say they should rebel against it.

‘This is not PCT bashing – in case there are any in the room – we need to have disruption here to get some changes coming through,' he said.

Mr Belfield was replying to a question from a GP who complained he was being forced to take part in practice-based commissioning schemes in his area which were not suitable for his patients.

Dr Chris Grant, a GP in Peterborough and a former PEC chair, said: ‘The PCT have made PBC almost impossible for us.'

‘It is only interested in pushing us to use the services it has set up. What patients want to use are the services that are closer to them. At the moment we are trying to fight the changes the PCT want to impose on us,' he said.

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