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Wednesday 23 May 2012
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GPs legally bound to join CCGs in new contract

By Ed Davie | 02 Nov 2011

Practices will have to join a clinical commissioning group (CCG) as part of the new GP contract announced today.

The Department of Health welcomed the BMA's agreement that, subject to the Health and Social Care Bill, it will be a contractual duty for GP practices to be members of a CCG.

‘This provides clarity to GP practices over their contractual responsibilities and is an important step forward in the process of NHS modernisation,' the DH said.

RCGP chair and Lambeth GP Dr Clare Gerada told Pulse the move was 'probably sensible'.

She said: ‘Given the timetable around CCGs taking over commissioning from PCTs by April 2013 it is probably sensible to make membership a contractual obligation next year.'

The move is likely to cause problems. Particularly, as Pulse revealed today that GP practices in some parts of the country are being excluded from CCGs with speculation that some in areas of high deprivation were victims of cherry picking.

A Pulse survey also revealed that GPs lack confidence in their local CCG to a handle on NHS budgets, and are concerned that its board members may be compromised by conflict of interest. Dr Gerada told Pulse that CCGs should ensure good governance was in place and that all practices should be welcomed into CCGs regardless of their population's deprivation.

READERS' COMMENTS

Anonymous, PCT,
03 Nov 2011
I don't think cherry picking is anything to do with deprivation. It will all be to do with the practice's historic spend versus the DH allocation toolkit (budget). Many deprived areas underspend whilst the opposite occurs in leafy suburbs.

CCGs that are border line financially will be unhappy accepting practices with historic overspending trends. However, budget overspends can have as much to do with the budget setting process than the way money is spent.


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