Potentially, GP consortia
could decide to just send everyone here, reducing the pathway and getting the patient a device or drug in the shortest possible time.
In terms of transferring commissioning responsibilities from primary care trusts to GP consortia
, the report stated this came as a 'surprise'.
Take, for example, the thinking now being articulated by the National Association for Primary Care (NAPC) on the proposed scope of activity for GP consortia
. NAPC is proposing that GPs should be answerable to their consortia leaders, rather than the NHS commissioning board - that it is the consortia that should hold the contract and not the individual GP.
In the new white paper there will be a big drive for the services to work with the GP consortia
I'm in favour of the GP consortia
but we do not need the Health Bill to have the GP consortia
Crucially, they will also be able to make sure that public health is always taken into account when councils, the new GP consortia
and the NHS, make decisions.
Concerns have been raised that GPs would not be able to prioritise child protection work if a proposal to transfer safeguarding responsibilities from primary care trusts (PCTs) and strategic health authorities to GP consortia
The Confederation's response said it was looking forward to working with GP consortia
through LOCs, and that it welcomed the possibility of the publication of national quality standards or pathways for a range of conditions with the help of the new NHS Commissioning Board.
Through GP consortia
these companies will have increasing control of NHS funding including contracting with private sector Foundation Trust hospitals.
"It really does appear GP consortia
are going to have very little independence and that will bring few benefits to patients in the North East."
Crucially, they will be able to make sure that public health is always taken into account when councils, the new GP consortia
and the NHS make decisions.
Unite stated: 'GP consortia
will put all local health services out to tender, and will then be able to award the contract to "any willing provider".