Written evidence from Dr Pawan Randev
(CFI 48)
RE PARAGRAPH
107
The
commissioning of services that either work across [health and
social care] boundaries, or are intimately linked is therefore
an issue to which the Committee attaches great importance, and
we intend to review the effectiveness of the structures proposed
in the Bill which are designed to safeguard co-operative arrangements
which already exist and promote the development of new ones. (Paragraph
107)
1. There is an issue concerning the future of successful
Practice Based Commissioning schemes. As a practice we have demonstrated
over four years the ability to save the NHS £250-500,000
per annum using a series of PBC initiatives at practice level.
This has resulted from undertaking work normally performed in
secondary care in our practice. Thus we make fewer referrals to
hospital and this whole process is in line with QIPP. However
the wholesale removal of PBC means that our ability to do this
is compromised. There appear to be no transitional mechanism of
support. It appears perverse that financially and clinically successful
models of care are being destroyed. It would be possible to nominate
PBC schemes that save more than 150% of their running costs to
be continued and act as beacons for consortia.
February 2011
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