Greetings Ahmad! I begin to see why you are more worried by PCGs than I
am....
On Sat, 14 Mar 1998, Ahmad Risk <[log in to unmask]> wrote on gp-uk
>That scenario, I am afraid, would put in direct conflict with the
>Health Service Circular
No it won't. Our constitution is for the locality commissioining pilot
starting 1st April 1998. I expect it will evolve into the PCG when more
experience and information is available. Even then, the "PCGs will be
flexible to reflect local circumstances. The approach will be bottom up
and developmental."
>which states that PCGs should not be formed
>around existing commissioning groups,
I presume that you are referring to HSC1998/021 which says "it may not
always follow, for example, that existing locality arrangements will
provide a suitable basis for Primary Care Groups". That is not a
prohibition, in my understanding, but does emphasise the need for wider
consultation as we move towards a PCG.
>should not be GP only led and
Again, this is not prohibited, but I agree that this is one of the ways
in which we will probably need to change from the commissioning group to
the Primary Care Group. We will be experimenting with wider involvement
as part of the commissioning group, and our constitution allows and
encourages that.
>should include in its management structure all members of the PC team
>*and* the public.
I didn't read this either, in particular the public was not included in
the governing arrangements.... (Annex 2 para 3)
The group is required to :
"be representative of all GP practices in the Group",
"have a governing body which includes community nursing and social
services as well as local GPs"
...
"have clear arrangements for public involvement including open meetings"
Our current structure will, we believe, allow those discussions to
begin.
Both of us are probably reading HSC1998/021 and seeing different
implications. Interesting times!
--
Jon Rogers Tel: 44 117 950 7100
Southmead Health Centre Fax: 44 117 944 5498
Bristol BS10 6DF UK e-mail: [log in to unmask]
GP and Member, North West Bristol Locality Commissioning Group
Treasurer, Primary Health Care Specialist Group
Chairman, GP Specialty Working Group, Read Codes
Medical Advisor, AAH Meditel
Vice Chairman, Avon Local Medical Committee
Member, RCGP Informatics Group
Member, Avon Health Strategic Advisory Group
Member, National Association of Commissioning GPs
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