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GPs should not be dictated to

5th December 2011

The Health Secretary Andrew Lansley has responded to worries that the NHS will use Clinical Commissioning Groups (CCGs) to "dictate" to GPs.

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He said GPs would not be "dictated to" in regards of size limitations or what CCGs should do, and the NHS Commissioning Board would not boss CCGs around.

However, GPs have claimed they are not being given the tools to make improvements because of the actions of "bullying" managers.

In April 2013, the CCGs will be in charge of purchasing and making plans for care.

According to the Clinical Coalition Commission, a group representing the GPs, doctors had reported that they thought they were being blocked and bribed by managers.

Mike Dixon, one of the founder members of the Clinical Commissioning Coalition, said too many managers were "stuck in the past".

"It is bullying and coercion and if we are not careful GP leaders will get disgruntled and walk away, and GP practices will not want to be part of it. All of what we wanted to achieve will be lost." 

Andrew Lansley said CCG leaders could make their own decisions about what they wanted to do.

He added that if CCGs acted in a responsible way and if they met conditions from the NHS Commissioning Board "then there is no basis on which [it] should tell you what to do."

David Stout, of the NHS Confederation, said: "There will always be tensions and frustrations during periods of transition. In some cases PCT clusters will be reluctant to change, but in others they may be doing it for good reason."

"But the problem now is that it is starting to undermine confidence. We need to have adult conversations about this and make sure we get it right." 

 

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