The new nhs architecture
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This document outlines some key changes coming to the NHS architecture including: 1) Payment by results which ties funding to activity levels and introduces competition on quality and throughput. 2) Practice-based commissioning which gives GPs a role in commissioning. 3) The introduction of any willing provider which could see private companies providing NHS services, creating potential conflicts of interest.
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- 1. THE NEW NHS ARCHITECTURE A new adventure by Lewis Carroll
- 2. DH SHA SHA SHA PCT PCT Commissioning GPs
- 3. NOW - PAYMENT BY RESULTS = ACTIVITY ce ch oi Same price everywhere = tariff Compete on quality Increasing throughput = more income
- 4. NOW - PRACTICE-BASED COMMISSIONING Commissioning PCT Savings to be invested in NHS care These could be private providers
- 5. EFFECTIVE COMPETITION? WASTE OF ENERGY?
- 6. Private Companies PCTs LA DH Commissioning Inexperienced Unkeen Busy GPs Excited
- 7. ANY WILLING PROVIDER NHS PATHWAY 3RD SECTOR CONSO RTIUM PRIVATE SECTOR CHOICE REFERRAL DIAG TREAT
- 8. AN INCENTIVE TO OFFER LESS. A CONFLICT OF INTERESTS consortium £ ------------------------------------------------------------------------------------------------ Consortium Quality premium Paid back to consortium
- 9. AN INCENTIVE TO OFFER LESS. A CONFLICT OF INTERESTS. AN OPPORTUNITY TO MAKE MONEY £ consortium Company owned by consortium Paid back to consortium
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