Yesterday, health minister Mike O'Brien told the RCGP conference that the college supported the plan to remove practiced boundaries. But Professor Steve Field said this was wrong.
Watch the video of Mr O'Brien's claims on practice boundaries
Professor Field said that he and GPC chairman Dr Laurence Buckman had talked to the DoH about how to help patients who spend a lot of time away from home gain access to GPs.
‘We said we would work with them to find some solutions but, I'll say it again, we do not support the abolition of practice boundaries,' he said.
In his speech to the conference Professor Field also said that GPs needed to take more of a leadership role.
In a time of economic crisis, which would see NHS funding being squeezed, general practice needed to be about ‘leadership, leadership, leadership', he said.
He said the NHS needed more clinical leadership and fewer managers, calling for the layers of central management to be slashed.
The DoH's management costs were ‘scandalous', said Professor Field. In 2005/6 the DoH spent £205m on management costs. The following year it was £132m.
Professor Field said that the money could be put to better use in primary care.
‘The time has come to get rid of lots of tiers of central management and put leadership back where it's needed in the local economy,' he said. ‘Let's get clinicians leading and get the managers to support us because we are closest to our patients.'
There was no need to spend money on management consultants, said Professor Field, when clinicians could do the job. ‘We need to promote the leaders that we have locally at a national level.'
Find more about the Royal College of General Practitioners (RCGP) on Healthcare Republic
All Comments
Lindy Williams - 09 November 2009
The abolition of practice boundaries is one of the craziest ideas the DoH has come up with. In line with the Home Secretary's sacking of David Nutt as chairman of the advisory board on drugs the DoH has clearly not listened to those who have evidence for and knowledge of the topic in question.
I was under the impression that the main reason to require practices to open for longer hours was to enable people to visit their GPs after or before work. Is that not enough? This out-of-touch and stubborn government never listens to anyone.
But don't be fooled, the alternatives may be a lot worse, specially in terms of privatisation of the NHS.
Ratan Agrawal - 09 November 2009
I fully agree with GP's Leadership role but I would say GPs should know the duty of care to the patients wherever they are so We should support the policy of abolishing the boundaries. The illness does not know where the persons are so they should be treated wherever they are.
Present day technology makes the patients records available to the treating physician so where is the problem.
David Aslett - 09 November 2009
The problem with abolition of boundaries will be 'doctor shopping' - patients seeking the medication/ referral/ investigation they want from any doctor willing to listen. It will cause chaos and drive up primary care costs,
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