>From: "Andrew Herd" <[log in to unmask]>
>
>The government has the arm on the HAs and is committed to
>PCGs at around the 100,000 patient level. The reason for this is that
they
>don't want healthcare fragmented the way it was under fundholding.
I think the Govt is committed to PCGs, but I am not usre how firm
they are on the 100 000 level.
The White paper offers some signs of variability, and the Kings Fund
report recently suggested that based on Pilot projects the most
effective size was 30 000 and that larger ones need more management
structure than has been suggested and more time to set up.
Locally one group of GPs to 70 000 would like to go as a PCG, based
on their strong and long links via OoH coop, educational circle and
so on.
The 30 000 this would leave out from their projected 100 000 as well
as being a Kings Fund size are not unlikely to be fairly content
with an offer to join the 100 000 based on Exeter - but what Exeter
would decide should the offer come to discussion in public is
unknown.
The largest practice in Exeter has 29 000 patients, and mine has
1803 patients, so we would make a very good Kings fund PCG<g>
So, if Ahmad can get together with the HA apparatchicks who may not
be unshakeable in their resolve to shoehrn everyone whoc doesn't
want to into a box of uniform size, and with the ahforgetit tendency
nearby, perhaps they could have a keendoc and a supervised anarchy
respectively in two PCGs of 50 000.
--- OffRoad 1.9r registered to Adrian Midgley
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|