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Gold, incentives and meh

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Headline

Give practices 'preferential treatment' if they decide to take back out-of-hours, says GPC

Comment

Agree the GPC are making some good points here. We do need an integrated urgent care system. The problem is that for integration to really work you need financial incentives and in reality organisational federation/mergers. Otherwise providers tend to stick in their silos and never the twain shall meet. There is a great opportunity for GPs to work together in cooperatives (or even for profit companies) to join all the strands together - with other clinical colleagues. A private provider could never do this since it depends on existing providers working together in a different way, so it has to come from the front line. The commissioner provider split causes more problems and competition law then just compounds it. You only need to consider that we have NHS111, GP OOHs, Darzi walk in services, MIUs, Urgent care Centres/Emergency Departments, in hours GPs etc etc as seperately contracted services to understand why the system at the moment is a shambles and cannot cope. And the poor old patients have no chance of understanding what to do! Time for a leap of faith and let GPs and other clinical colleagues sort this mess out.

Posted date

23 Jul 2013

Posted time

12:42pm

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