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RCGP seeks mandate from members on further health bill opposition

By Gareth Iacobucci | 22 Dec 2011

The RCGP has launched another survey of its members to test the water on their position to the NHS  reforms, in what its chair Dr Clare Gerada called  a ‘critical moment' for the College and general practice.  

The survey is to be used by the RCGP to help formulate their next steps as the health bill  goes through the final stages of its passage through Parliament in the New Year.

It comes after college chair Dr Clare Gerada and other senior GPs met with shadow health secretary Andy Burnham last week to discuss his plans for a ‘plan B' that would scrap the health bill and avoid mass upheaval to NHS.

The move marks the third time the College has surveyed its members on the NHS reforms, and comes ahead of further discussions with other royal colleges regarding the health bill early next year. In October, more than 70% of RCGP members said the Health and Social Care Bill should be scrapped.

In a letter to members accompanying the survey, RCGP chair Dr Clare Gerada said: ‘This short survey is designed to test out member opinion on recent developments in relation to the bill and how the College could respond.'

'I feel it is important to share this with all our members in the UK, not only to keep you up-to-date with the issues, but to gather as many of your views as possible as we prepare to take important decisions for both the College and the future of the NHS.'

Dr Gerada added: ‘We have reached a critical moment in the College's work to take forward our profession's concerns about the Heath and Social Care Bill. When we look back in years to come, I want there to be no misunderstanding of the position the College has taken or criticism that we did not do enough to inform and engage members or to protect patients and the NHS.'

‘As a profession we must now decide on a way forward which reflects our unique understanding of how these changes will impact on the health system we work in and the patients in our care. Should the College decide to call for the bill to be withdrawn, there is no guarantee that this will be successful.'

'Nonetheless,  it is my view, and that of many others, that stopping the bill now, placing GPs in the majority on the boards of the PCT Clusters/NCB outposts and focusing on addressing the serious financial crises facing the NHS, is the safest way forward for patients and communities.'

Dr Gerada also insisted that the College would always be politically impartial despite the recent meeting with Mr Burnham.  

‘The College is, and will always remain, party politically neutral in its stance on the reforms. We have been working with Government ministers and the Department of Health team to ensure that the voices of GPs and their patients are heard as the implementation of the reforms progresses, and this is something we will continue to do. However, this does not prevent the College taking a professional stance on whether to support or oppose changes that affect us, patients and the NHS so directly.'

RCGP members are able to respond to the survey up to 6 January.

READERS' COMMENTS

Vinci Ho, GP Partner,
22 Dec 2011
The result of another survey is fairly predictable.
The reponse of the government is to raise no surprises.
The question is : if there is a Plan B , has it got substance to make it matte?
You need strategies and hence actions. We have way passed the stage of just informing and engaging people. For the future generations , are we going to confront the government to stop something we now believe can harm the health service . Of course, nothing is guaranteed . What is really guaranteed in life? Yes , do not trust politicians but that does not mean we play goody two shoes and stay out of it completely . Remember we are being bullied by politics every single day.
We are at interesting time in world history. TIME has chosen protester as the person of the year 2011 . What are we going to do...........
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Anonymous, GP,
22 Dec 2011
Am I alone in being utterly hacked off with Dr Gerada's blatant politicking?
As a member of a (democratically elected)CCG that is forging ahead with improving patient care, the bleating from the blinkered is becoming tedious.
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Roderick Smith, GP Partner,
22 Dec 2011
I am absolutely with the anonymous CCG member above. What on earth does Dr Gerada want? We are now well on our way to CCGs taking over in 2013 and many are achieving ownership and commitment from their GPs.
Does she seriously think the old PCTs and failed practice based commissioning should take back responsibility for commissioning or even worse that her proposed ludicrous solution of commissioning groups representing 1-5 million population could do the job better.
I have been proud of my fellowship of RCGP and regarded it as forward looking till recently. I am also a member of the BMA, which I can tolerate and indeed expect to adopt it's usual position of opposing change but Dr Gerada is seriously testing my patience with a former great College. I have not resigned my fellowship of the RCGP yet but am seriously considering my position.
The bill is virtually through now and further opposition just makes the RCGP look ridiculous.
Please can we return the RCGP to it's roots and get it back to it's proud tradition of raising standards in Primary Care.
Rod Smith FRCGP Chairman West Berks Federation of CCGs and North West Reading CCG
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Marie-Louise Irvine, GP Partner,
22 Dec 2011
I totally disagree with the above two posts.
Firstly, the government had no right implementing fundamental changes to the NHS without a mandate; the bill has not gone through parliament yet so it is not law yet. It makes me angry that CCG leads are saying that as its gone so far now we have to accept it. ALL the polls of doctors from the start of this process showed that the majority were opposed to the bill and the majority did not think the changes would benefit patient care. Its the pro-bill GP enthusiasts and CCG leads who are out of touch with ordinary GPs, not the RCGP. Clare Gerada has done a fantastic job representing the views of the majority of GPs. Throughout this time she has sought the views of her members repeatedly and the majority has supported her. I am proud of what she is doing.
This bill will damage the NHS fundamentally - it will privatise both commissionning and provision of care; reduce the accountability of the Secretary of State; introduce whole new layers of bureaucracy to manage the transactions; increase costs, especially transaction costs which are predicted to rise to 20% or more of the NHS budget; fragment care and impact on co-ordination and co-operation; worsen the postcode lottery; lengthen waiting lists; increase health inequalities; create a two tier servivce where those who can afford it to take out health insurance to pay for care that is either too long to wait for on NHS or which CCGs deem no longer available on the NHS; fundamentally damage trust in GPs and the doctor-patient relationship - and NO-ONe voted for it! If you think we should just sit around and let this happen merely because its already some way along the road then you are seriously mistaken. The fight is not over until its over and I say - keep fighting!
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