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Alliance calls for NHSCB commitment to break boundaries

Dr Michael Dixon, Chairman, NHS Alliance

The new NHS must change the way it operates so that more patients are cared for outside of hospitals and in local community settings or at home if the NHS is to change for the better, says the NHS Alliance.

Posted: 13 March 2013

Launching NHS Alliance’s new manifesto at the Healthcare Innovation Expo in London today (March 13th), Dr Michael Dixon (pictured), Chairman, NHS Alliance, said, “Hospitals can be dangerous places. If we are to put people before numbers and achieve a high quality of care, while also achieving the efficiencies required to sustain a long term NHS free at the point of need, there is an immediate imperative to shift all non-urgent care from the hospital to the community.”

Rick Stern, Chief Executive, NHS Alliance said: “We’re categorically not suggesting further reform but rather that everyone working to support patient care considers the importance of breaking down boundaries at every level: between clinicians and managers; between clinicians working in different specialist areas; between specialists and generalists; between primary care providers and the communities they serve; between in hours and care out-of-hours.”

Breaking Boundaries, the NHS Alliance’s new manifesto for primary care, also calls for the NHS Commissioning Board to demonstrate commitment to primary care by taking the following steps:

  1. Offer every patient the opportunity to create a personal health and wellbeing plan.
  2. Agree that consultants’ contracts in certain specialties should be held by the NHS Commissioning Board or local Clinical Commissioning Groups, so that specialists to take a community-wide responsibility for groups of patients while also acting as an expert resource for primary care clinicians.
  3. Appoint a GP or other primary care professional to work at the same level as the Chief Medical Officer or Commissioning Board Medical Director.
  4. Do a review of the current financial systems in which general practice is paid per head of population but hospitals are paid for activity.
  5. Allow data to be shared across boundaries in different services and settings, making sure that patients are involved and feel safe and secure.
  6. Advocate that primary care should take a new role in orchestrating community movements that improve health and wellbeing.

Norma Beavers, Editor