criteria for authorisation of CCGs will be:
strong clinical and professional focus
meaningful engagement with patients
clear and credible plans to deliver qipp
proper constitutional and governance arrangements with capacity and capability
collaborative arrangements
Great Leaders!

I’m wondering if you can help me with something… I’m trying to reach out to GP’s in the area who might want to work in the prisons in the area. Do you think it will be possible to circulate and email to all your doctors asking them this? Regards Phil Please see our new website… www.med-co.com

Philip Hill – MIRP CertRP Senior Recruitment Consultant – HM Prisons Med-Co (Europe) Ltd Canolfan Gorseinon Centre Millers Drive Gorseinon Swansea SA4 4QN Tel: 01792 224224 Fax: 01792 224225

Having rushed out a health bill that no one wanted, even getting through a committee stage, it seems that the momentum has been lost. The political risk to the coalition government has become to high. This leaves GPs in a dilemma, in those areas where the changes have progressed especially. Do they continue to make the changes needed for the ‘new’ model? or can the ‘old’ model be reconstructed?

Of course this doesn’t really matter. General Practice and the NHS works best when working in an integrated fashion. Cooperation between practices to produce better primary care has always been possible and consortia are simply the new name for PBC, and PCGs. Without some of the proposed changes there may be less scope for direct involvement in managing the local health economy, but the indirect effect of GPs working together remains.

Salaried GPs, locum GPs and partners who want to be involved in local medical politics will get involved. Those who want to get on with their day to day practice  will continue to receive new directions to work towards.

If you want to add your ideas and thoughts on to this site please let me know.

The locum list is still valued, with new people being added and others moving on when no longer working as locums.

Increasing the interest in the site will make your locum list more noticeable to local practices and may get you more attention.

Apply below…

Also don’t forget to get involved in your local consortia, they will be acting for you however you are employed.

a good consortium website is that of  west cheshire

There is a vacancy advertised for the wirral LMC sessional GP representative. Nominations have been requested, and voting will commence if there is more than one candidate.

Representatives for non-principal GPs have been elected on several occasions. The election is usually preceeded by an attempt to gather names and addresses and ‘permission to be contacted’. Then everything goes quiet.

The LMC represents all GPs regardless of how they are employed. It ‘s functions are paid for  in 2 ways. Some from central funds, and others from the ‘voluntary levy’. It is this voluntary levy which has caused part of the discrimination by some against independant GPs and limited communication.

Some of you may have had another request  for ‘permission to hold your details’  perhaps now the LMC is trying to contact nonprincipals to establish ongoing links. Hopefully this will help to engage them and us to benefit all GPS, especially as more and more are not principals.

As a locum you are the last independants in an increasingly managed system. In GMS, the independance of action is increasingly restricted by PCT or QOF government or ‘public opinion’. As PMS is bought out by Sainsburies there will be increasingly bizarre managerial involvement.

How do you chose to use your independance? Do you work when you want to? Do you charge practices, or do they offer you a payment? Do you describe the services you offer specifically, or do you just ‘do what you gotta do’ ?

It seems that to keep GPs busy the best thing to do is announce dramatic change, then let them fight out the details.  The next step is to slowly adjust your proposals into something slightly cheaper and involving more and more work to retain the money already in the system.

“Another helping of million pound debt..anyone?”

Of course for those with a chair when the music stops, there is the chance of a prize, but when it comes from a dwindling budget, it’s not going to help your become popular with your colleagues! Especially when those budgets really start to bite.

Good luck everyone

The new government has produced an ‘exciting’ proposal which may well see the end of the NHS as a provider or comissioner of health care.

The initial plan is to give budgets to ‘consortia’ who commission services. That these consortia will find it difficult to operate is given. Then private commisioners (HMOs in USA speak) will ‘support’ local commisioning as well as providing ever more services themselves, before finally taking complete control of budgets and the public purse.

The endgame has begun. (and guess who will take the blame!)

Central operations mersey is the coordinating group managing performers lists locally. They have online copies of the lists to check against to make sure you know where you are up to.