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CCG Co-Commissioning of General Practice

CONFIDENTIAL TO LMC MEMBER PRACTICES ONLY, NOT TO BE SHARED OR FORWARDED IN WHOLE OR PART WITHOUT THE LMC’S CONSENT

You will be aware that NHS has signalled, in the attached document, its clear intention to pass on, through delegated arrangements, responsibility for commissioningof general practice, including management of core GP contracts. The LMC would urge you to read the attached document carefully, and full details of the proposals are available on the NHS England website at this link:

https://www.england.nhs.uk/commissioning/pc-co-comms/

Clearly the issues are highly complex, but also of enormous and far-reaching significance for your practice. The GPC will shortly be issuing some comprehensive advice, which will, of course, be forwarded as soon as available.As ever with a matter such as this, a number of potential opportunities may be perceived, but also of course so too could many potential threats and concerns.Not least of these would be the issue of the fundamental conflict of interest between the CCG, legally constituted as it is of member practices, being responsible for all contractual decisions and actions affecting its practices.Whilst mechanisms will be put forward to deal with this, there is nevertheless a considerable body of opinion that holds that the situation will remain untenable and unworkable whatever policies are put in place.

Whatever decision your CCG arrives at in respect of its future degree of involvement in the commissioning of general practice, the overridingprinciple remains that your CCG and its leadership is accountable to its member practices, and not vice-versa.The LMC would expect to see every practice being fully informed andconsulted by its CCG in respect of its intentions and its decision on this. Moreover, in view of the fundamental significance and far-reaching implications of the decision, it would be appropriate for all member practices to be balloted on this matter, and any voting options must include a fourth option of no change to current involvement, in addition to the three options for increased involvement put forward by NHS England as, whilst the document encourages increased involvement in the commissioning of general practice, there is nothingin there that actually mandates this.Any voting process must demonstrably be democratic, fair, transparent, be in line with your CCG’s constitution and have the full confidence of all CCG members.You may therefore wish for your CCG to consult withthe LMC on this process, and to arrange for the ballot to be externally conducted.

Click here to download this document: "CCG Co-Commissioning of General Practice".

Click here to download the document "Next steps towards primary care co-commissioning".

Dr. Robert Morley
Executive Secretary
Birmingham Local Medical Committee

36 Harborne Road, Edgbaston, Birmingham B15 3AF

Tel. 0121-454 5008, Fax. 0121-455 0758
Office email: lmcadmin@blmc.co.uk
Website: www.blmc.co.uk
Birmingham Local Medical Committee
Supporting the Business of General Practice

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