However, given the fornicating shambles commissioning of services has been in for the past 20 years, I'm sure they can't do it any worse.'Įlsewhere, pathfinder groups across England have begun moving funding out of hospital services. On balance, the engagement has been in favour of this strategy.'ĭr Tony Grewal, medical director for Londonwide LMCs, said the consultation process had in some cases pitted GP against GP: ‘The majority of GPs do not have the capacity to sift through the huge amount of evidence required to make these decisions. He said: ‘The consultation with GPs and GP leaders has been extensive. Ruth Carnall, chief executive of NHS London, said: ‘The local GPs' clinical review confirmed that no change is not an option.'ĭr Andrew Spooner, an RCGP council member and a GP in Crewe, was one of the independent doctors on the NHS London review panel. An A&E department will be closed, some inpatient services stopped and a birth unit placed under review. NHS London revealed a series of cuts to hospital services would be made after an initial GP-led consultation and approval by an independent panel of clinicians, including GPs, from outside the capital. GPs in several trusts have been plunged into the heart of controversial debates over emergency services and have begun rubber-stamping plans to shut A&E and maternity departments, as they try to turn around cash-strapped PCTs. GP consortia across England have begun approving the closure of A&E departments and moving a raft of services out of hospitals as the realities of their new responsibilities under GP commissioning hit home.
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