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Independents' Day

GPs issue ‘no confidence’ statement as chair jets off to Alaska

GPs from about 30 surgeries have issued a statement of no confidence in senior CCG managers, after expressing anger at the CCG chief clinical officer flying to Alaska and Seattle in a bid to learn about new models of care.

Pulse understands that GPs gave the statement of no confidence in the NHS Vale of York CCG at a meeting of the CCG’s council of representatives last Thursday.

In May last year Pulse reported that Vale of York CCG was among eight CCGs to issue a warning about prescribing budgets, after a ‘£1.4m forecast outturn in prescribing’.

Local GP leaders said they are now taking up the GPs’ concerns with NHS England chiefs.

The CCG was proposing a financial recovery plan when it emerged that its chief clinical officer, Dr Mark Hayes, and Patrick Crowley, chief executive of York Teaching Hospital NHS Foundation Trust, are visiting the US states of Alaska and Seattle to learn more about alternative models of care.

A member of the council of representatives told Pulse that there was a statement made by the members of the council declaring no confidence in the proposed financial recovery plan or the leadership of the senior management team.

Dr Douglas Moederle-Lumb, chief executive of YOR LMC, which represents the Vale of York GPs, told Pulse he had been notified about the statement, and been asked to raise this with NHS England.

He added: ‘There is clearly discontent… that at a time the CCG cannot meet its statutory commitments the [chief clinical officer] would be considering flying out of the country to Alaska to be looking at healthcare systems out there.’

Dr Moederle-Lumb said that the LMC was ‘concerned our colleagues we represent in the Vale of York have felt it necessary to express their concerns and I have been asked by members of the council of representatives to raise these concerns with the area team’.

One GP, who did not wish to be named, told Pulse that the recovery plan ‘essentially cut everything back to the bone’.

He said: ‘The council reps looked at it and made a statement at the board of no confidence both in their communication and their “ability to cope with the current crisis or the future of care in the York area”.’

The GP added that the acute trust had been overspending, with money taken out of primary care. He added: ‘It is an area where there are very few enhanced services. There is minimal investment in primary care.’

The CCG said it had not formally received any notification of a no-confidence statement.

A CCG spokesperson said: ‘We have not received formal notification of the outcome of the vote of the council of representatives. What is clear, however, is that our CCG, local GPs and other healthcare professionals recognise the significant financial challenges we face and that innovative solutions must be found.

‘That is precisely the reason why we are visiting the Virginia Mason Institute in Seattle to explore how care can be provided in different, more cost-effective ways. The visit has been organised in the most cost-effective way possible.’

The CCG confirmed that Dr Hayes was visiting Alaska at part of the trip to the US.

Readers' comments (14)

  • They are on the 200k salaries,,,,,just make sure they don't come back:) Some of them really do need to learn a lot and should be sent on lifelong courses to an igloo shaped institution.

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  • Come now, calm down, Vale of York is exactly comparable to Seatlle and Alaska so lots to be learnt.

    What they'll liearn is £$ per head spent per year is a lot higher and wont get funded in UK. So it's a total and utter waste and I hope the GPs and local people of York fry them for their arrogance- make them repay for a start.

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  • Took Early Retirement

    I wonder- did they fly Business Class?

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  • Instant FoI request for their expenses, objectives and outcomes please. Pulse, step forward again as the guardian of common sense GP principles. Let Hayes and Crowley attend the next half-day education event in York and tell local GP's why we must pour over our inhaler prescribing yet again while they were tucking into Moose steak and turning left on the aircraft. Vomit.

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  • This morning there was a discussion about NHS Fraud examining procurement and prescritpion fraud. Hope they can diversify and check expenses too.

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  • ...and they could check cases where gms contracts may have been given to private Providers without proper tendering processes or question why some Practices are not being paid Deprivation/Rurality payments as calculated on their Exeter statements. NHS Fraud has a major role to play in the £20 bln savings and this swamp seems deeper than one may hove thought.

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  • perk of being the boss?
    God forbid pulse starts looking into the masses of conflicts of interest that ccg bosses have, you just have to google

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  • Gross stupidity - if they thought that rank and file GPs would think it appropriate to undertake this trip when they themselves are being asked to shave prescribing for their patients - Mad but to be expected - power corrupts so they say

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  • For the last 5 years or more leaders of pcg and CCGs have to account why in our area practices are getting funds for services and when retired CCGs members support their practices in the main
    Smaller practices are ignored
    The problem is lack of transparency
    We need to see where the money goes and what each practice gets

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  • Think I might have a look at alternative healthcare systems in Canada..............

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