I can't believe some of the 'positive' views on Milburns' letter!
Surely *ALL* seven points had to be met?
1. Independant contractor status - ok?
2.Clinical freedom - how can we have clinical to refer when the HIP,
largely set by the HAs, will determine which hospitals we can refer
to, and only those?
2. Overspends - will be met as HAs handle them now i.e. budgets will
have to be top-sliced to meet the debts.
3. GP led boards - fine, except where are we going to find time to do
it?
4.Financial support - the initial £22M is less than 40p per patient,
so in our area for a poupaltaion of 250K we get 100K, for three PCGs
33K. How can a 'shadow' PCG run for 6 months on 33K?
5.Ccontinuing resources - 'every PCG will know by autumn, the
resources available' - HA, like the HCG on HIPs was meant to be out
in early May, no sight of it yet. Define 'autumn' please!
6. GP incentives - not much room for primary care development with
top-sliced budgets. See above.
7.Legal liabilities - ok
8. GMS - this still *ISN'T* ringfenced. Indeed, he has said explicity
that GMS can be transfered to other budgets.
9. OOH's - fine, until it is reviewed and then axed?
I move that the letter is rejected.
Dr David J Plews
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