Posts Tagged white paper
A better direction for NHS commissioning?
Posted by James Gubb in Health on 29/10/2010
Yesterday, Civitas, in conjunction with the Manchester Business School, published this report, looking at the relationship between the size and performance of commissioners in the NHS. It found none, although both the domestic and international trend is towards larger commissioners, covering larger populations: the direct opposite to what is likely to happen under the Coalition Government’s White Paper on the NHS with the proposed move from PCTs to GP consortia. The evidence, in other words, doesn’t provide much in the way of support for the reforms to commissioning: reforms that are likely to be costly with uncertain outcomes.
A dog’s breakfast or radical reform?
Posted by James Gubb in Health on 13/07/2010
Yesterday, Civitas released a brief commentary on the NHS White Paper published by the Coalition government. I’m happy to repeat congratulations to the Coalition government on moves to introduce greater competition in the NHS by expanding choice and supporting a genuine ’social market’ through the introduction of meaningful competition law.
Recent evidence on the impact of the competition that already exists in the NHS suggests this is the right course of action to drive value in tight financial times.
However, I want to devote the time and space of this blog to analysis of the more fundamental proposals on the purchasing side of things. That is, moves to transfer responsibility for commissioning from PCTs to GPs. A number of concerns: