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Thursday 24 May 2012
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GP commissioners lose heart over health bill 'wreckage'

By Gareth Iacobucci | 15 Feb 2012

Senior GP commissioners – including one in health secretary Andrew Lansley's own constituency - have opened fire on the Government's ill-feted health bill, claiming the reforms will ‘wreck the NHS'.

Dr Peter Bailey, a GP in Great Cambourne, Cambridgeshire, claimed primary care has been ‘duped' by the changes, and called on Mr Lansley to ‘get rid of the bill' - in an article published today on bmj.com.

Dr Bailey, former vice chair of the CATCH commissioning group in Cambridge, said GPs had achieved success whole working closely with the PCT, and said he believed the profession was ‘being set up' by being asked to take on new roles without sufficient skills or time to do so, whilst simultaneously trying to save £20bn.

His criticism came in the same week that Dr Paul Davis, a GP in Castle Hedingham, Essex, tendered his resignation from the board of Mid Essex CCG due to what he described as ‘the obsession with saving money and hitting financial targets', with a system ‘too heavy on meetings, excessive workload…and bureaucratic detail'.

Dr Bailey said he had visited Downing Street to meet with the Prime Minister, Sir David Nicholson and Mr Lansley to air his concerns, but said his suggestions that the reforms were unworkable fell upon ‘deaf or reluctant ears'.

He writes: ‘Our early enthusiasm for protecting the fundamental ethos and values of the NHS led us into collusion with the bill. By the time the professions really understood the bill much of the damage was already done.'

'Many experienced and dedicated PCT managers saw what was coming and looked for other jobs; those who remained colluded with the so called reforms in the hope of continuing employment—and the demolition continues.'

‘Now we stand baffled in the wreckage. Let us put down the sledgehammer. Get rid of the bill. And bring in a structural engineer to stabilise our finest institution.'

 

 

READERS' COMMENTS

Anonymous, GP Partner,
16 Feb 2012
We need to develop an integrated model of care, promoting health, developing primary health care and secondary care in partnership.
The Americans are now heading that way, why should we go to the state they are leaving?
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George Farrelly, GP Partner,
16 Feb 2012
Thank you, Dr Bailey. One doctor after another, one group after another are coming out against the Bill.

The basic problem is there is an enormous disconnect between the rhetoric and the practicalities of the real world. It is inevitable that these policies will fail because they are poorly designed and have built in flaws.

And the politicians and the Department of Health seem to think that if they speak sentences that contain the words 'patient choice', 'modernisation', 'reducing bureaucracy', 'increased efficiency', that somehow it will happen.

Richard Feynman, physicist: 'For a successful technology, reality must take precedence over public relations, for nature cannot be fooled.'

www.onegpprotest.org
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