Learning the lessons from GP-led commissioning
The British Medical Bulletin has recently published an assessment by HSMC's Professor Russell Mannion of the White Paper's GP Consortia reforms in light of previous experience of GP-led commissioning models in the NHS. The article reviews their history and evidence on their impact in order to draw out key lessons for the design, implementation and evaluation of the latest reforms.
Russell's article notes that while GP commissioning has the potential to deliver a range of benefits including reducing elective and non-elective referrals, reducing waiting times, improved coordination of primary and community support services and better financial risk management, the potential also exists for these reforms to reduce patient satisfaction, increase inequalities between geographical areas and to generate substantial management and transaction costs.
Full British Medical Bulletin article 'General practitioner-led commissioning in the NHS: progress, prospects and pitfalls' (pdf; opens in new window)