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GPs sidelined from Manchester devolution plans

GPs have been sidelined from landmark plans to devolve responsibilities for Manchester’s healthcare to ten local authorities and 12 CCGs, local leaders have said.

The LMC said it was not involved in the proposals, which are being finalised and involve the Treasury giving the £6bn budget directly to the CCGs and local authorities, with no role for NHS England’s area team.

Under the plans, Manchester councils would be the only ones in the country to commission general practice.

Bu Greater Manchester LMC medical secretary Dr Tracey Vell said the LMC has not been consulted as part of the changes.

She said: ‘The simple question is whether pooling of money and wider management of these funds help the funds reach the need or whether it causes further constraints? We will only know when we see the details. What we do know is that general practice is a huge provider of health care and a major advocate for patients – but has not been consulted so far.

‘I am disappointed that Greater Manchester LMC, which has a statutory function of supporting all general practices, has not been part of the process so far.’

The plans for Manchester are part of a Government drive to devolve budget responsibilities to regions.

Chancellor George Osborne has said he wants to create a ‘northern powerhouse’ to maximise the economic potential of the north of England.

Readers' comments (12)

  • Ivan Benett was probably too busy seeking 10 days a week GP opening.

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  • they realised how useful the LMC was !

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  • Was the LMC not informed by the CCG`s?. Was there not a single member of the LMC who was in the CCG boards?
    Assuming the LMC statement is correct then it means the local CCG`s dont give a s**t about LMC`s.
    When the shit hits the fan the CCG leaders will be put on the front page of Daily Wail though!

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  • When co-commissioning was 'offered' our LMC ensured all GPs had a vote. We agreed that the CCG could tell NHSE 'no-thanks' we don't want any of your proposals.
    Hopefully Manchester CCGs have had a similar vote

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  • Took Early Retirement

    My impression of LMCs is that they do some useful behind the scenes work for GPs with problems but in the larger medico-political field they are useless.
    (DOI- did a few years on mine.)

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  • John you are probably right about LMC.

    But as LMC is a statutory body to support GPs, I thought CCG/PCTs were required to consult them on large scale changes (and ignore their advice anyway). Or was it just PCTs?

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  • Ivan Benett

    Anonymous | GP Partner | 02 March 2015 4:25pm
    Ivan Benett was probably too busy seeking 10 days a week GP opening.

    Ten days a week is not enough to show I care! If only I knew who you were.

    Seriously - Devo-Manch can only be a good thing in my opinion....

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  • Peter Swinyard

    I read the "Memorandum of Understanding" last night. The lack of consultation with any statutory professional body - LMC, LPC, LDC - was extraordinary. CCGs may be "membership organisations" but do NOT represent GPs. They are an administrative and commissioning organisation.
    The devil will be in the detail (apologies for cliche) but get it wrong - and will this be the time for the body corporate of GPs to take up arms - or just to run spoilers to wreck whatever structure is put in place.
    I await the motions to the LMC conference with interest.

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  • Who is Ivan Bennett ?!

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  • Sadly Jeremy central Manchester GPs were not given an opportunity to vote despite LMC pressure.
    Dr Bennett is employed by the CCG and is not an officer at the LMC. Agree totally Peter CCG is a commissioning body and does not represent GPs as providers.

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