This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

GPs buried under trusts' workload dump

Patient care 'not improved by PBC'

More than half of GPs believe practice-based commissioning has failed to improve the quality of patient care.

The damning verdict came from 53% of the 250 GPs and practice managers surveyed by the NHS Alliance and the King's Fund. But in spite of this, 73% of respondents were committed to taking part in PBC. More than a third (39%) cited a lack of PCT support as a barrier to success and nearly a quarter (23%) felt financial constraints and short-term thinking were significant obstacles. Dr Richard Lewis, senior fellow in health policy at the King's Fund, said: 'The reality is that many PCTs see practice-based commissioning as something that needs to be done alongside many other targets.'The findings came as the alliance called for common sense in setting up commissioner/ provider relationships.Using the example of a hospital that increased its income by 40% in the first year of payment by results, throwing PCTs into severe financial difficulty, alliance vice-chair Dr Donal Hynes said a mixture of competition and co-operation was needed to make the system work.The comments came a week after the BMA called for a more mature approach to commissioning, diminishing the need for a purchaser/provider split.

Rate this article 

Click to rate

  • 1 star out of 5
  • 2 stars out of 5
  • 3 stars out of 5
  • 4 stars out of 5
  • 5 stars out of 5

0 out of 5 stars

Have your say