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NHS Guidance pdf Commissioning Web Site Payment By Results Delay Primary Care Contracting
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Practice Based
Commissioning is Dead
Long Live World Class
Commissioning
The
NHS has
been assailed by Government initiatives since
1997.
The flow of initiatives brings on new
organisations, new regulatory bodies,
new web sites, new “arms length bodies” (quangos)
along with consultancy
companies feeding their associates (see
list here).
These organisations, which include Strategic
health Authorities, Primary Care
trusts,
are then churned but never closed. We
see
them morphing, merging, and
spawning. For the
employees it is a
matter of musical chairs; but this game is different.
New chairs are added at each round. The trick
is to get into a more comfortable position each time the music stops.
All
this is
quite divorced from patient care.
Every reform and intiative takes the NHS another step away
from
clinical contact. Now there is a new lifeform of
NHS
bureaucracy that feeds on itself. Groups checking on other groups using
a language devoid of all meaning and patient contact.
The nadir of the process must be, we
pray, the
introduction of World
Class Commissioning.
If you have ask what is world class
commissioning, then
you do not get
it, and clearly you cannot enter the inner sanctum of NHS management.
That is the point. It
has no
meaning. It is what
you want it to be.
It is like the phrase “Clinical
Governance”
which had no definition when first coined,
but everyone assumed that they knew
what it meant.
World Class Commissioning
is an astonishing edifice which has been constructed out
of management speak
alone. One of WCC's
aims is the
attempt to score Primary Care Trusts on their NHS purchasing abilities
(commissioning). In
doing so, with
top-down tick boxing, "WCC" has assured that local Practice Based
Commissioning is given a final
blow. PBC was
another
initiative that was doomed from the start.
Quite simply The Emperor has no clothes.
A
local
presentation to the board, a guide is a good
instruction to the terminology of WCC, click this WCC Presentation
The
consultancy company that has
jumped on the WCC bandwagon is Humana as seen at http://www.commissioning-institute.co.uk/ and http://www.commissioning-simulator.co.uk/
Department of Health
World Class Commissioning Site
Dr Gerard Bulger September 2008
- PBC
Background
- CATS and CAS: Clinical Assessment and Treatment Centres
- Extreme CATS