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Hertfordshire - radical secondary care changes

A major reorganisation of secondary care in the county provides the backdrop for PBC.

A major reorganisation of secondary care in the county provides the backdrop for PBC.



In Hertfordshire, where GPs' views on commissioning are in line with national averages, commissioning plans are being considered alongside a major reconfiguration of secondary care, with two of the county's four DGHs earmarked to become community hospitals, supported by eight urgent care centres.

Nicky Poulain, assistant director for locality commissioning for West and North East Hertfordshire PCTs, says: ‘The localities are now driving what services go into those urgent care centres. You could argue that's not PBC. Some people would say PBC is phlebotomy and things like that but we're looking at it in a more strategic way.'

Ms Poulain admits that this strategic way of thinking means not all GPs are happy with progress, but she remains sceptical of the results of the PBC survey.

She says: ‘A lot of GPs will say PCTs are blocking them, but as a taxpayer you wouldn't want us to approve things that are uncosted. I've had a number of business cases that don't have needs assessment, an explanation of what it looks like now and what they want it to look like, and little idea of what it will cost.'

Hertfordshire

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