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Hunt wants CCGs to co-commission both primary and social care

CCGs could get more formal commissioning powers should the Conservative Party win next year’s general election, as health secretary Jeremy Hunt announced he wants them to become ‘accountable organisations’ holding fixed budgets for primary and social care.

Speaking at the RCGP annual conference yesterday, Mr Hunt said he wants to give GPs ‘an even bigger role’ in commissioning and that Labour’s plans to take this responsibility away from GPs would ‘be a tragedy’. According to Mr Hunt, GPs have made ‘fantastic progress’ in commissioning and developing links between primary and secondary care, and should be given more chance to develop the work and take control of capitated budgets.

He said: ‘Of course it takes time for new structures to bed down, but I think we are seeing some really transformative innovation because of that clinical leadership in the commissioning process, some fantastically better links between primary care, community care and acute care because of the involvement of clinicians. Far from wanting GPs to be taken out of that commissioning process, I would like them to have a much bigger role even than they have now. I would like CCGs to move gradually to becoming accountable care organisations, with capitated budgets.’

While NHS England is already in advanced stages of handing primary care commissioning powers to CCGs, Mr Hunt went even further saying he also wants CCGs to co-commission social care with local authorities.

He said: ‘I’d like to see them having responsibility not just for commissioning secondary care but working with NHS England to co-commission primary care and local authorities to co-commission social care, so that we have in each part of the country a group of people clinically-led, clinically experienced, people who are themselves talking to patients every day who are making decisions about how to deliver the best integrated, joined up care.’

‘I think it would be a great tragedy to lose that.’

Readers' comments (7)

  • I suspect when he says commission he means ration and for gps to take the blame for lack of resources

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  • the man wants a lot of things ... just like joe public.

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  • My local CCG is lapping this up and I'm concerned.

    As a grassroot, I very much doubt DoH has any intention to make primary care safer and better by ensuring adequate funding with reasonable responsibility. I suspect their intention is exactly opposite of that.

    So why would he want to devolve the power of contractual changes? It must be either to pass the buck to the GPs and also minimize the money spent on primary care.

    Unfortunately my local "leaders" too politically motivated to decline an opportunity to progress their careers

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  • Well they cut social care budgets and someone needs to take the blame.
    Most trusted professsion -GP`s
    hand them the poisoned chalice.
    Make them take the rap.
    Destroy both in the process.

    Unless GPC grows a pair and calls for action we are doomed .
    Some politicians are as cunning as a cartful of monkeys

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  • Jeremy Hunt also wants GPs to shine light from their backsides that cures cancer.

    And I want some respect for spending my life looking after patients, get a stable job without massive changes every year, work somewhere less than 12 hours a day, 5 days a week, and not get blamed for everything and anything.

    I guess we cant all get what we want.

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  • This comment has been removed by the moderator

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  • Yes, that's a really good dea - let's slash social service budget a lot more then NHS budget, bundle them up together, give it to a fall guy and tell the public Tories have not cut NHS budget and any service provision problems on any areas were down to the GPs.

    Unfortunately politically motivated GPs are buying it to fuel their own ambitions. Whilst rest of us are made to be responsible without so much as a consultation

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