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Will GPs make good commercial leaders of the NHS?. Dr Nigel Watson. Declaration of Interests. GP PBC Lead LMC CEO GPC Representative Chair – CSD DoH - GP Reference Group. Why is General Practice so important ?. List based – defined population Person focused
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Will GPs make good commercial leaders of the NHS? Dr Nigel Watson
Declaration of Interests • GP • PBC Lead • LMC CEO • GPC Representative • Chair – CSD • DoH - GP Reference Group
Why is General Practice so important? • List based – defined population • Person focused • Cradle to grave – or conception to decomposition • Provide care when first needed • Holistic care • Co-ordination of care • GPs are experts in the chaos of the first consultation
Other Conditions • Increasing elderly population • Rising life expectancy • More long term conditions • Financial crisis • Technology advancement
Key issues • Clinically led commissioning • Patient choice • Provider reform • Reduce bureaucracy • Abolish PCTs and SHAs • End of political micro management • Establishment of NHS Commissioning Board
Why GP led commissioning? • GPs • Prescribe • Refer • Admit • Co-ordinate care • Access community services • GPs commission for the individual • 80% NHS resources controlled by GP actions • Why is this different?
GPCC • Each practice hold a registered list of patients • Practice the building block • Peer pressure • Align financial responsibility with accountability • Clinical engagement • Quality premium • Quality framework • Better services
What could be different? • Clinically led but with strong management support • Work with consultants • Challenge unacceptable variation • Partnership, share risk • Greater engagement with LA and voluntary sector • Link commissioning of a population to the frontline • Solve problems
Establishing Consortia • Flow of patients to secondary care • Local authority • Increased role • Financial risk • Locality engagement