GPs 'will take on PBC out of the goodness of their hearts'
GPs in cash-strapped PCTs will initially miss out on the financial benefits of practice-based commissioning, the acting chief executive of the NHS has admitted.
Sir Ian Carruthers told Pulse that trusts with large deficits would struggle to provide incentives for GPs to implement commissioning, but expressed confidence that GPs would take on commissioning out of the goodness of their hearts.
His comments followed an Audit Commission report concluding that local incentives were needed to kickstart the scheme and warning that deficit-stricken PCTs might retain some of the 70 per cent of savings that is meant to go to practices.
He said GPs in these areas would have to work much harder before they were able to reap the rewards.
But Sir Ian said he was still sure GPs in deficit-stricken areas would meet the commissioning challenge.
'It's a problem for those working in deficit areas. It means you have to do a lot more before the incentives apply for you, but to me, the incentive of sorting out the deficit is vital,' Sir Ian said.
He added: 'Although the monetary incentive may not
be there straightaway, I have never met a clinician, patient
or manager of the public
who does not want a better NHS.
'We are beginning to embed reform and the pace is picking up.'