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  • Valuations for GP premises sustainability loan in Scotland circulated

    Valuations for GP premises sustainability loan in Scotland circulated

    Wednesday, 25 July 2018 14:03
  • Doctors reminded to preserve patient records for UK Infected Blood Inquiry

    Doctors reminded to preserve patient records for UK Infected Blood Inquiry

    Friday, 20 July 2018 14:51
  • NAO gives NHS vanguards a mixed review

    NAO gives NHS vanguards a mixed review

    Monday, 02 July 2018 16:45
  • Scotland to expand international recruitment for doctors and nurses

    Scotland to expand international recruitment for doctors and nurses

    Friday, 22 June 2018 16:07
  • GP trainee round 1 recruitment increases 10%

    GP trainee round 1 recruitment increases 10%

    Tuesday, 19 June 2018 17:53

doctor 12October 21 2015

GPs can add value to the commissioning process by being involved in clinical commissioning groups, a review has concluded. However, it found an “unexpected degree of complexity” associated with CCGs’ internal structures and governance arrangements which made it hard to determine which body within each CCG was responsible for which type of decision.

Ultimately, the reviewers “found little evidence that CCGs were better at engaging local people than PCTs had been and no evidence that trusted positions in communities were an important enabler in discussions of service redesign.”

The review was carried out by researchers from the University of Manchester and the London School of Hygiene and Tropical Medicine working for the Policy Research Unit in Commissioning and the Healthcare System.

They had initially followed the development of CCGs from January 2011 to September 2012 and had heard many claims about the added value that GPs bring to commissioning. A second phase tried to evaluate this added value, using a “what works, for whom and in what circumstances” assessment approach. The research was conducted by interviews and by observing CCG meetings.

The researchers found that CCGs’ governing bodies vary significantly, with membership being very different between sites. There was often some kind of ‘operational’ or ‘executive’ group below the level of the governing body, and some sort of ‘quality’ committee, again with a wide variation in set up.

With regards the role of GP commissioners, the researchers’ observations “confirmed that GPs do add value to the commissioning process by using their frontline knowledge in this way. However, GPs expressed reluctance to rely solely on this knowledge of services, requesting ‘proper data’ to support and contextualise their knowledge, and relying on managers to provide a more systematic overview of the range of services available.”

As a result of the different set-ups, there was evidence of “duplication of effort, wasted opportunities and failure to make best use of GPs’ time and knowledge. Given the costs (both monetary and in terms of burdens placed upon GPs’ practices) associated with GP involvement in commissioning, it is important efforts are made to both focus and maximize the value of the time spent,” says the report.

It recommends that GPs “must ensure that they understand the wider context of the issue in question, the purpose of the discussion, and the desired outcomes.”

Link:

PRO Comm announcement and links to ‘Exploring the GP ‘added value’ in commissioning: What works, in what circumstances, and how? Final Report’

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