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What GMC means to me

I was very interested to read the reasons why GPs are not interested in partaking of practiced-based commissioning (News, June 11).

Our reason ­ apart from the total lack of helpful guidance, information or assistance from anyone, PCO included, with regard to starting this project ­ is because of the Department of Health's comment in paragraph 16 of their guidance paper, Promoting Clinical Engagement: 'We anticipate that some practices will choose to start with a limited range of services.

'However, in order to avoid cherry-picking, over a three-year period, practices will move towards holding budgets covering the entire scope of health care provision with the exception of a few highly specialised services.'

I wonder how many other practices, or groups, realise that within three years of starting PBC they will be expected to commission the 'entire scope of health care provision'? And of those who do realise this, I wonder if they have any idea of the time and resources this will take up. And who is going to fund this?

I am sure that within a year or two of this someone will decide that it would be a good idea to take away this burdensome administrative responsibility from GPs to encourage them to see more patients and spend more time seeing ill people. The solution could be to set up a single group of staff who could manage this task for a group of practices ­ perhaps we could call it a primary care trust! What a good idea!

Paul Gomm

Practice Manager

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