Sir Nigel Crisp has announced a consultation process on expanding practice-based commissioning within the NHS, which may have profound implications for existing employees within the service.
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http://www.dh.gov.uk/assetRoot/04/10/65/07/04106507.pdf
Extract from consultation document:
ROLES AND RESPONSIBILITIES IN COMMISSIONING
Practice Based Commissioning
1. The Government is committed to Practice Based Commissioning as a way of devolving power to local doctors and nurses to improve patient care. It is also a way of aligning local clinical and financial responsibilities.
2. Under Practice Based Commissioning, GP practices will take on responsibility from their PCTs for commissioning services that meet the health needs of their local population. Commissioning practices, or groups of practices will have the following main functions:
• designing improved patient pathways;
• working in partnership with PCTs to create community based services that are more convenient for patients;
• responsibility for a budget delegated from the PCT, which covers acute, community and emergency care;
• managing the budget effectively.
3. Under Practice Based Commissioning GPs will not be responsible for placing or managing contracts. That will be done by PCTs on behalf of practice groups, with back office functions including payment administered by regional/national hubs. GP Practices will also receive management support, the size of which will be dependent of the numbers of practices involved. Further details on these arrangements will be set out in October following discussion with relevant stakeholders.
4. There is a strong desire in general practice to make rapid progress in rolling out Practice Based Commissioning more rapidly. In line with this desire, and given the strategic importance of commissioning to the system reform agenda, the Department can confirm that it expects to see PCTs make arrangements for 100% coverage of Practice Based Commissioning by no later than the end of 2006. Individual practices will have the option to take on commissioning to a greater or lesser extent depending on their wishes and their capabilities.
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