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ICOs could become too big, warns DH tsar

Integrated care organisations could inadvertently become ‘monoliths’ that would damage the choice agenda, says primary care tsar Dr David Colin-Thome.

Integrated care organisations could inadvertently become ‘monoliths' that would damage the choice agenda, says primary care tsar Dr David Colin-Thome.

Speaking at the NHS Alliance conference, Dr Colin-Thome warned ICOs could create ‘a new form of centralism' to threaten the traditional GP model.

He said: ‘The danger is that consortiums could become the new centralists. GPs hate bureaucracy, but when you see GPs involved with projects, they're some of the biggest centralists I know.'

He added the challenge was to determine whether ICOs were supportive of or an actual replacement for GP practices.

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