> Certainly in Avon, all practices are part of one of thirteen
> "localities" covering the whole HA area. This has been pushed mainly by
> practices and the LMC, with support and encouragement from Avon HA.
Similarly in Sandwell the locality commisioning model is being devolped
with six localities of 50,000 patients approx. This will give a mix of
fundholding and non-fundholding (there are not many left in Sandwell) in
each locality. How much freedom they will have is still to be ironed
out with the LMC.
In addition the social services purchasing and provider
arms will be aligned to the localities to produce joint or parallel
purchasing. The HA and the Social Services head offices are moving in
together in the same office to assist this process.
Colin J Browne The Black Country Family Practice
Queens Rd, Tipton, West Midlands, England
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