FAQ
Log In
Thursday 23rd October 2014
News
 › 
 › 

The end of the beginning?

6th December 2006

13042006_stormy_meeting.jpgNow that the SHAs and PCTs have been rationalised, you may think life will settle down, says Mike Sobanja. And you would be "wrong, wrong, wrong."

Firstly, the reassurances of an end to restructuring are "simply not true"; there are already plans afoot for the joint management of PCTs and it is doubtful the 31 PCTs in London will survive beyond next year. The recent reconfiguration was designed to create co-terminosity with local authority boundaries but it is likely that local authorities themselves will be restructured after next year's local elections. Secondly, practice based commissioning, which is neither practiced-based nor solely commissioning, will take time to bed down as PCTs and these new groups learn to live with each other. “Spot the commissionerâ€? is a game to be played for some time yet.  Thirdly, how will specialised commissioners - who also need to be rejigged - fit into the new system of SHAs, PCTs and PBCs? And as for clinical networks; only time will tell how they fit into this transformed landscape. Why all the change? Because the government needs to address commissioning and this time get it right. But the provider side also requires change and emerging Foundation Trusts are just one part of that. In our new "immature" market, the most urgent thing will be to sort out Payment by Results and a "real IT systemâ€?. Then there is just the issue of regulation - how to join up the current myriad bodies and regulatory tools such as NICE, CHI and QOF. A little way to go? I think so, concludes Mike Sobanja – it’s probably "the end of the beginning, rather than the beginning of the end".

Mike Sobanja is NHS Alliance Chief Executive and Non Executive Director of Health Direction.

Share this page

Comments

There are no comments for this article, be the first to comment!


Post your comment

Only registered users can comment. Fill in your e-mail address for quick registration.

Your email address:

Your comment will be checked by a Healthcare Today moderator before it is published on the site.

Article Information

Title: The end of the beginning?
Author: Sue Knights
Article Id: 1391
Date Added: 6th Dec 2006

Sources

Recent Related Articles

Mentally ill end up in cells

Capita HR contracts ended

End NHS social divide

Emis Web roll out across Manchester set to end

End animal testing

Actions

Add to scrapbook
Show Comments
Add comment
Find all related articles

Tags

Mayden - Innovative cloud-based web development for the healthcare sector
© Mayden Foundation 2014