This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

Gold, incentives and meh

CCG retenders NHS 111 contract due to 'concerns' over rollout

Exclusive GP commissioners in Cambridgeshire have decided to retender its NHS 111 service before it has even launched due to ‘concerns’ around the service.

Cambridge and Peterborough CCG told Pulse it had served notice on its contract with Urgent Care Cambridgeshire and would be retendering the service. But a spokesperson for UCC said that it would be appealing the decision.

The launch of the NHS 111 service nationally has been been beset by problems, with NHS England recently launching an urgent review of the service. This is thought to be the first case where GP commissioners have taken action and cancelled a contract that was originally negotiated by PCTs.

It emerged last month that LMC leaders were unable to talk publically about the rollout of NHS 111 in Cambridgeshire for ‘legal reasons’. The GPC also took legal advice and its members were advised not to make any public comment on the Cambridgeshire service, although the PCT denied that any legal injunction was in place.

Minutes from the meeting of the CCG’s quality and patient safety committee meeting on 12 March said: ‘Andy Vowles (chief operating officer) referred to the concerns around implementation of the 111 pilot which had been reported to the committee previously and the work that had taken place to support Urgent Care Cambridgeshire with the implementation process.’

‘The CCG governing body had reviewed progress with implementation and had agreed that UCC was not in a position to take forward the 111 pilot. Discussions were underway with two alternative providers. The decision on the preferred provider had been delegated to the CCG chair.’

A spokesperson for the CCG confirmed it was looking at an alternative provider. The spokesperson told Pulse: ‘Alternative provision of the 111 pilot is still under discussion with a potential provider. Further comment would be provided in due course.’

A spokesperson for UCC said: ‘We are appealing the decision and are hoping something positive will come out of this.’


Readers' comments (3)

  • Kadiyali Srivatsa

    Are these doctors or a group of lay people?. If they are doctors, then I think we must ask them a simple question "Do they believe this triage system developed be nurses, helped by medical students safe?". Will the members of CCG accept advice and treatment offered by OOH triage service? "I certainly will NOT"

    Dr Gill et al, has clearly stated "Increase in emergency admission since 2003 is due to systemic failure in primary care, NHS Direct and A&E". The number of children admitted for a day after diagnosing URTI, LRTI and UTI is simply unbelievable.

    I do not think a well trained and experienced clinicians will accept these as a disease that require admission to hospitals. This speak volumes about the quality of care offered in the primary care in UK.

    I feel these substandard care offered by incompetent doctors or nurses must be stopped. It is not fair on our part to inflicting emotional and psychological trauma to a vulnerable child by disrupted family life. I wouldn't dare talk about the problems (Dr Gill has listed a few) these parents will encounter after the child is discharged.

    Admitting a child to hospital must be the last option. Any one offering to diagnose illness and managing children in the community must be competent if not they must not accept responsibility. The trauma inflicted in a growing child will always remain in the child's mind for years.

    It is obvious the doctors who are in CCG have forgotten their duty is "Not To Harm". I hope the GMC use this opportunity to bring an end to this un-ethical medical practice that has been on going since nurses, OOH and NHS Direct took over the responsibility to offer OOH and emergency care in UK.

    (1) Powell C. Do we need to change the way we deliver unscheduled care? Arch Dis Child, May 2013, 8,5, 319-320
    (2) Gill PJ, et al. Increase in emergency admission to hospitals. Arch Dis Child 2013;98:328-334

    Unsuitable or offensive? Report this comment

  • GPs gatekeeper role has been gradually and systematically eroded by bringing in walking centres,UCCs,NHS direct,etc.
    Besides moneys for primary care has been diverted to private sector in different ways.
    It is still not too late to divert findings to GPs and primary care to improve the totally out of control situation.
    GPs involved in CCGs can and should take a lead to improve Primary care access by diverting findings into GP premises and primary care

    Unsuitable or offensive? Report this comment

  • Why is the clinical content used never referred to in any news items. It is obviously the content used to assess patients that is at fault. NHS Direct used clinical content that was well tested and successful and SAFE

    Unsuitable or offensive? Report this comment

Have your say