Keep CCGs small to ensure they are accountable

11 Oct 2011

In your editorial you state that there are two possible reasons why 93% of all elections for GP board positions were uncontested – lack of awareness or lack of engagement.

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READERS' COMMENTS

Anonymous, PCT,

12 Oct 2011

I'd certainly agree that small groups would improve the way that the organisation communicated and managed. Unfortunately, cost effective management relies on organisations being larger. It is the same problem with the move to small, local services rather than big hospitals - no matter what you have read about hospital costs they are far more cost effective than if the same was provided in smaller units. So, sorry the money calls the tune.

PCT Finance Manager

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Anonymous, Other healthcare professional,

17 Oct 2011

I agree with PCT Finance Manager, but I would go on to say that in order to achieve the best outcomes and deliver care in the most efficient way acute services are coming togetherin larger centres. Small local groups will, in most cases, not be in favour of losing services to the large centre and support their local trust no matter how much of a basket case it is. Therefore larger CCG's are required to ensure decisions are made free from political nonsense and in the patients best interests.

Anon NHS Manager

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Keep CCGs small to ensure they are accountable

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