Tag Archives: clinical commissioning groups

With more money coming to the NHS do we need to rethink how it’s spent?

While some of the major health think tanks such as The King’s Fund say the announced 3.4% increase in annual NHS spending is not enough – and I would agree with that – can we at least use the additional NHS funding more efficiently? I would say it might be worth looking at changing some long-established patterns of patient care.

Let’s start by looking at primary care. Currently it is estimated that around half of all GP appointments are for just two kinds of conditions – musculoskeletal (MSK) problems (accounting for a fifth of all GP appointments) and mental health problems …

Posted in Op-eds | Also tagged and | 35 Comments

Opinion: Clinical Commissioning Groups – don’t hold your breath

nhs sign lrgWe are now 6 months into the much touted reorganisation of the health service, with the advent in April this year of Clinical Commissioning Groups to replace Primary Care Trusts, the only real difference being that GPs run the Clinical Commissioning Groups.

The reorganisation did ensure a reduction in cost by the simple expedient of setting Clinical Commissioning Group administrative budgets one third below historic  Primary Care Trust administrative cost, yielding a Clinical Commissioning Group admin cost of £25/head of population. There are 211 Clinical Commissioning Groups. The adjusted population figure is 53.8m, and so total Clinical Commissioning Group admin spend is £1.345bn. Clinical Commissioning Groups are administering a total health budget of £60bn, averaging £284m per Group. Clinical Commissioning Group admin costs are therefore 2.24% of total health service expenditure.

Posted in Op-eds | Also tagged , and | 8 Comments

Baroness Shirley Williams writes… Making sense of the Health Bill amendments

If you are trying to explain to Liberal Democrat members and interested potential voters how the Lib Dem peers changed the health bill, much the best source of information is the House of Common’s library standard note, which is non-partisan and available online at the Parliament website.

In my view, no local Lib Dem group should be without it! It describes all the more significant amendments, from Lib Dems and also from Cross-Benchers and Labour peers, in a way that most of us can understand.

It brings out the changes to the powers of the Secretary of State; the removal …

Posted in Parliament | Also tagged and | 19 Comments
Advert

Recent Comments

  • Peter Chambers
    Paul, thanks for this incisive piece on the relationship between the Labour Party and the privation of state provision in the UK. I agree with much of what you ...
  • Carl Pierce
    Sam - Your not alone. Ill be ashamed if my party treats you unfairly....
  • Martin Eggleston
    @Tom Bailey we have our very own example in the UK; Wally Stott composed the Hancocks Half Hour theme tune and was the arranger for many Goon Shows, and albums ...
  • Peter Hirst
    Related to this concern for standards in nursery care, should we be looking at the metric of school readiness? It is shocking that so few children are ready for...
  • Peter Hirst
    Private ownership and full nationalisation are the two extremes of the possibilities for ownerhship of services delivered for a community with a variable monop...