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Independents' Day

More than 70% of CCGs to commission GP services from April

A further 87 CCGs have been given powers to commission GP services alongside local area teams, NHS England has announced today.

Speaking at the Commissioning Live conference in London, Dr Mike Bewick, deputy medical director at NHS England, said that overall 151 CCGs - 71% of all CCGs - had signed up to the higher levels of co-commissioning, which will allow them to introduce replacements for QOF and performance manage GP practices.

NHS England has announced which 87 CCGs have been granted these ‘Level 2’ co-commissioning powers, which allows them to jointly commission GP services alongside NHS England local area teams.

The announcement follows on from the news last month that 64 CCGs had been given full responsibility for primary care.

Co-commissioning was introduced by NHS England chief executive Simon Stevens in May as one of his first major moves in the position.

Under co-commissioning, CCGs will be able to offer local incentive schemes to give practices the choice of dropping QOF, and will performance manage GP contracts.

Dr Bewick told Pulse: ‘It is a really good day for general practice and primary care in general because you now have 151 CCGs with all their GPs interested in commissioning primary care for themselves.

‘I don’t think it will be done on day one, I think it will be gradual, and it is NHS England’s job to help them.’

Dr Amanda Doyle, co-chair of NHS Clinical Commissioners, said this ‘demonstrates how important CCGs think primary care commissioning is’.

However, she added that there is unlikely to be big change on 1 April, when they are given the powers.

She said: ‘I don’t think there will be a major change on 1 April, but I think they will see a change over the next year in way they are able to manage demand from their patients, in which they are able to work with community services and social care.

‘We should be able to see some real focusing on practices as the centre of the health economy and as the lynchpin of out-of-hospital services for their patients’

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Readers' comments (6)

  • Vinci Ho

    Dr Bewick told Pulse: ‘It is a really good day for general practice and primary care in general because you now have 151 CCGs with all their GPs interested in commissioning primary care for themselves

    Please don't claim credit so early , Kissinger, only history will judge. The truth is : there is no choice.
    As Mao said many years ago,' between the evils , choose the one with harm which is lighter' and of course ,GO said 'The choice before human beings, is not, as a rule, between good and evil but between two evils.'

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  • Just another step for the commisars on the road to collectivization and the total collapse of primary care.

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  • ' Last year, a total of 94 people across Whitehall had their contracts terminated because they were unable to “provide evidence that they were meeting their tax obligations”.

    Of those, 79 worked for NHS England, 12 worked for the environment department, two worked for the Office for National Statistics and one worked for the British Library. '

    Imagine the outrage if 79 GP's had had their 'contracts' terminated for tax related issues- is this on the front page of Daily Wail or on the BBC ? no of course not...

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  • Co-commissioning is a tool to divide GPs and weaken their collective power. Our strong nationally negotiated GMS contract will become less relevant to our incomes as co-commissioning is designed to provide "wrap around" monies. The "core" GMS contract money will be squeezed making it de facto necessary for local GPs to dance for their money from the wrap around contract . GPs do not feel represented by CCG boards, they do not feel their voice is heard, so does anyone really believe that having the CCG make GPs dance for their money will be better for GPs than NHSE? How many GPs are there really on CCG boards? What power do they actually have? The cost of saying yes to the local CCG being in charge of a significant amount of GP income will be (1) the debasing of the nationally negotiated legally strong GMS contract, (2) the introduction of KPIs even for those with a GMS contract (3) the loss of ability of GPs to say 'no' that LES detracts from my core responsibilities. To answer CCG directors who may be reading this - if KPI's are so necessary -why do we have one of the most efficient primary care services in the world? The UK demographics are changing as are social trends in consulting rates and expectations - none of this is because of poorly performing GPs. You dear directors are setting the scene for private providers to take over GP provision

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  • Don't let them make you believe otherwise - There IS a choice - VOTE NO!!!
    If the majority of GPs in a CCG vote NO - they will be in a stronger position to negotiate better terms, not the current loose woolly statements that are meaningless, but clear terms which hold the boards to account and guaranteed long term investment

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  • Anon@ 10.31. I totally agree. This is the death-knell for our National Negotiators and manna from heaven for all those politicians who have hated the BMA/ GPC/ Annual Conference of LMCs.How many new recruits will this messy development attract to General Practice?

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