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CCG director resigns post over workload from GP contract changes

A GP has resigned from his clinical director position on the CCG governing board because of fears about what the contract changes will do to his practice.

Dr Chandra Kanneganti, who was clinical director of unscheduled care on Stoke on Trent CCG and was involved with the CCG from its beginning, told Pulse he enjoyed commissioning and was disappointed to have to give it up, but that his patients were his ‘main priority’.

The resignation brings into stark reality warnings from the GPC that GPs will have no time to devote to commissioning because of the extra pressures the imposed GP contract for 2013/14 places on practices.

Dr Kanneganti told Pulse: ‘We need to spend more time at practices than we did before. Practice and patients are our main priority.

‘There are a lot of things that are happening. We do not know the impact of the contract changes. It was the fear of how the practice would be affected by the contract changes that made me leave – more like prevention than the cure.’

He added: ‘I really enjoyed commissioning and the experience I had in the last two years. But the priority is the practice and patients.

‘Commissioning is a two days a week job it has acquired input in other days. With the recent changes in the contract I’m not sure how long I can spend time on my commissioning duties. I don’t want my patient care compromised.’

Dr Richard Vautrey, GPC negotiator, said in January this year that GPs would have to give up commissioning as a result of the new contract.

He said: ‘GPs will find that with the increase in workload in their practices, GPs will find it much more difficult to [find time] to take part in CCG meetings and activity. The knock-on effect will speak for itself.’

Pulse reported earlier this year that LMC leaders were concerned over the levels of stress and mental health issues in the profession after there was a four-fold increase in the numbers of GPs presenting to pastoral care services in the first half of 2012, compared with the same period in 2011.

Readers' comments (4)

  • Peter Swinyard

    Dr Chandra Kanneganti has got his priorities absolutely right. Yes, GP-led commissioning has potential - but as the Family Doctor Association told government during the "consultation" period over the contract changes, they were so draconian that good, senior GPs would be recalled to their practices for the added burden they impose.
    The senior civil servant who wrote the "consultation document" did not believe me when I told him this.

    Never was a contract imposition so ill conceived or so badly timed.

    Never was a government so deaf to the voices of reason about the consequences of their action.

    If GP-led commissioning should fail, we know where the blame will lie - and not on the shoulders of GPs as the Secretary of State will undoubtedly say.

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  • This type of situation would continue to recur.
    One of our GP on CCG board in West London resigned recently.
    GP from larger practices with support of their partners may continue such work.New contract imposed on doctors would take its toll.
    This time next year a lot of GPs would think twice about staying on CCG boards due to sheer pressure of job.

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  • On a significant number of issues and this one included this government seems incapable of thinking through the consequences of its actions. I am unsure if this is due to the incompetence of civil servants and ministers or sheer intransigence.

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  • do i hear the footsteps of a rebellion?

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