The North Kirklees NHS Support Group met first on 23 November 2012 as the Health and Social Care Bill was struggling through Parliament. Following the official start of the North Kirklees CCG in April 2013 campaigners met with CCG members and told them that they were a vehicle for the privatisation of the NHS and they were either set up to fail, or to morph into something else.
Lo and behold it has come to pass. The North Kirklees CCG’ s “functions need to change” and it is handing much of its commissioning responsibility to a Multispeciality Community Provider, (MCP) or as the Secret Theft Plan (STP) calls it, a ‘New Model of Care’. Plans for the associated GP Forward View are due to be finished next week but there will not be time to bring them to the CCG Governing Body meeting, as they need to be submitted to NHS England on 23 December 2016. The Quality and Safety Officer asked the Governing Body for permission to delegate the scrutiny of the plans to the Quality Performance and Finance Committee (QPFC) which does not sit in public. This was granted, but I hope the North Kirklees CCG does not make the mistake that Wakefield CCG made. According to a letter seen by the HSJ, GPs in Wakefield are very unhappy that there has been ‘inadequate’ consultation about the MCP plans that Wakefield CCG has drawn up. According to the HSJ, Wakefield and district GPs can not move forward with the plans until their concerns about the ‘virtual model’ developed by the CCG, have been addressed. Where that leaves the submission on 23 December is anyone’s guess but we hope they are feverishly working away to sort it out.
“We need to be open and honest , encourage GPs to work at scale get value for money and hope the finances come together!” said an enthusiast on North Kirklees CCG. The evidence is, however, that patient satisfaction is greatest when they can have their own GP on a General Medical Services (GMS) contract and that the worst patient experience is delivered by the Any Providers Medical Services (APMS) contract. (link to follow) The CCG chair stressed, for the benefit of assembled members of the public that they would do what is right for patients, however a GP said “Define ‘what is right for patients’!”
This is pertinent. Another layer of bureaucracy, the MCP ensures money is diverted away from Patient Care, into managers, lawyers, consultants, and shareholders pockets. It’s not about what you need, it’s about whether you can be persuaded you don’t actually need it!
Unless it’s a job!