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Will GPs make good commercial leaders of the NHS?

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?

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  1. Will GPs make good commercial leaders of the NHS? Dr Nigel Watson

  2. Declaration of Interests • GP • PBC Lead • LMC CEO • GPC Representative • Chair – CSD • DoH - GP Reference Group

  3. 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

  4. NHS Budget in billions

  5. Other Conditions • Increasing elderly population • Rising life expectancy • More long term conditions • Financial crisis • Technology advancement

  6. 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

  7. 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?

  8. 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

  9. 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

  10. Establishing Consortia • Flow of patients to secondary care • Local authority • Increased role • Financial risk • Locality engagement

  11. Any Questions?

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