"Removing NHS management contributes to lack of expertise"
- 19 Oct
The exodus of PCT staff sparked by the NHS reforms has seen too many managers leave the NHS, and is contributing to a lack of expertise in some areas, the Government's leading GP adviser on commissioning has warned.
CCGs jobs would be made easier by the remodelling of secondary tariffs, and addressing the ‘broken' urgent care system
Dr James Kingsland, national clinical lead of the NHS Clinical Commissioning Commissioning Community, and a GP in Wallasey, Merseyside, said CCGs needed experienced managers to prevent GPs from being diverted from redesigning care.
But he told delegates at a Westminster Health Forum seminar yesterday that the NHS management resource had probably been stripped back ‘too much' and that there was ‘despondency' in some CCGs about the challenge ahead.
His comments come after commissioning leaders said that CCGs may need up to five years to become successful, and following gloomy warnings from the BMA chair, Dr Mark Porter, that the NHS could be heading towards a worst case scenario where CCGs were ‘disconnected' from most GPs and operating without grassroots support.
Dr Kingsland also told delegates that he provided regular ‘soft intelligence' reports to the DH on how CCGs are progressing on the ground, and admitted the current mood was ‘mixed'.
He said some CCG leaders were ‘enthused', but admitted‘the mood music is mixed':
I'm seeing a lot of misunderstanding, disillusionment and despondency in some areas as well.
We have lost enough [management], probably too much and we need to make sure that the NHS management we have are such that their role is so vital in the redesign of care.
Whilst GPs need to be involved in the analysis and the needs assessment of how to secure the best services, we do not expect them to do procurement and contract management - we need NHS managers to do that. We need the right expertise in the right area.
There is some evidence that extending the primary care system of general practice [opening later and at weekends] can significantly reduce the demand on urgent care.
Dr Kingsland said CCGs jobs would be made easier by the remodelling of secondary tariffs, and addressing the ‘broken' urgent care system.
- 01 Jul
SCOTLAND AHEAD OF THE UK ON BUILDING NEW HOMES
SNP Housing Minister, Kevin Stewart said the following while commenting on Social Security and Equalities in the Scottish Parliament, SCN reports:"These figures demonstrate Scotland's strong...
- 23 Jun
HEALTHY DIETS FOR CARE HOMES
Joanna Cox, a manager of Chandos Lodge, said:"Food is a huge factor in our residents' lives and we want to ensure the meals we provide not only satisfy their tastes but benefit their health."Healthy...
- 16 Jun
DO HEALTH AND SOCIAL CARE SERVICES NEED INTEGRATION?
Although, many integration initiatives have been introduced across the NHS; For example, vanguard sites to the prime minister's Challenge Fund and integrated care pioneers- many involving GP...
- 15 Jun
LANDLORDS DIVIDED ON HOW TO VOTE IN EU REFERENDUM
The findings show that landlords are evenly split, with 35% intending to vote leave and 35% intending to vote to remain, reports Housing Excellence.According to Richard Lambert, the NLA's Chief...
- 10 Dec
Highest records of working families since 1996
Research has also shown that parents of young children, who were part of a couple, were almost twice as likely to be in a job. In comparison to older mothers, young mothers under 24 were only half as...
- 05 Dec
What percentage of people have mental disorders in the UK?
Percentage of adults suffering from common mental disorders:Prevalence of common mental disorders:Women (19.7%) are significantly more likely to experience common mental health disorders than men...
- 03 Dec
Safe Tweets, safe Twitter
Twitter is one of the most popular platforms where users across the globe collectively contribute 500 million Tweets every day. However, it can sometimes be inevitable that you come across content...
- 17 Jun
Google Creates System to Eradicate Child Abuse Images
Pressure was on the company to do something about the problem after it emerged that men convicted of murdering Tia Sharp, aged 12, and April Jones, aged 5, had been viewing the indecent images online...
- 04 Jun
How Councils Can Improve Home Care
Read the full article at Community Care.Southwark council has agreed in principle to Unison's ethical home care charter and is working with local providers to find out how they could raise pay ...
- 31 May
Man Aged 83 is First Reported Assisted Suicide for Dementia
Reported @ BBC News | Health on 31/5/13He was assessed as mentally competent to make the decision at the centre in Switzerland, as he was only in the first stages of the disease.He did not want to...
Responding to the DWP Consultation: Housing Benefit Reform - Supported Housing "I thought this briefing was very good and very useful. The presentation was clear, well argued and I always find Michael gives me food for thought even if I don't agree with everything he says. I really like the way he facilitates a discussion in the room and I learn as much from other participants as I do from the presenter which is always good. Right length, right tone." R.P. - Richmond Fellowship