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PCTs told to make it easier to decommission GP services

By Nigel Praities

PCTs have been urged to ‘remove barriers' to make it easier to commission and decommission services in primary care, in new NHS guidance.

The Assurance Handbook was issued on the anniversary of the introduction of World Class Commissioning and adds to pressure on NHS managers to demonstrate they are ‘effectively stimulating the market' by removing barriers to allow ‘the entry and exit' of providers.

The guidance adds to warnings that PCTs were seeking to terminate contracts for practices judged as the worst performers under the traffic-light ratings systems encouraged by WCC.

Dr James Kingsland, president of the NAPC and lead for the National PBC Clinical Network, said it was inevitable some practices would see their contracts terminated in the future.

‘The idea that we have over 8,500 practices in England who are all fit for purpose is not right. The vast majority are, but we must invest in success and not failure,' he said.

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