East Lancashire doctor is leading call for NHS reform

Lancashire Telegraph: BELIEF Dr Clayton said he believes there will be a greater public voice and level of scrutiny on the new CCG BELIEF Dr Clayton said he believes there will be a greater public voice and level of scrutiny on the new CCG

A LEADING doctor has explained why he believes the government’s controversial NHS reforms will benefit patients in East Lancashire.

Primary care trusts will be abolished next year under the Health and Social Care Bill.

Their work will be taken on by GP-led organisations, known as CCGs (Clinical Commissioning Groups).

Bodies including the Royal Colleges of GPs, Nurses, Midwives and the British Medical Association have all opposed the changes.

Dr Chris Clayton is chairman of Blackburn with Darwen CCG, which assumed delegated responsibility for planning and buying health services in January.

He said: “The wish for frontline clinicians to be directing the system and deciding the way healthcare is purchased for patients is not a new idea.

“If you look at why it’s so important, it’s not that GPs are better healthcare professionals than anybody else, it’s that they have an overview of the whole healthcare system.

“They sit in the middle of it with patients next to them in the consulting room.

“They’ve got a view that no other professional gets. Your hospital consultant doesn’t see the whole package or your pharmacist, but GPs interact with everybody, every type of healthcare and social care professional.

"They are going into patients’ houses and seeing what the situation really is.

“There is not a lot of controversy in the system here – we are just getting on with it.”

Dr Clayton gave the example of a new diabetes care strategy, which all 31 of the area’s GP practices helped create, as a benefit of the new arrangements.

“Diabetes care is provided both by GPs and in a hospital setting, so what we’ve done as a CCG is to get GPs and hospital consultants to look at it together.

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“We’re creating a new pathway where practices will offer more of that care than they would do normally.

"Also we’ve been able to get those consultants to come out to GPs, to look at the most complex cases and help practices manage them. We talk about care closer to home and this is a really good example.”

He said GPs would be able to address the underlying cause of health issues, such as poor housing, alcohol abuse, smoking or family problems, with the help of social care, council and police partners, when they meet on new Health and Well-Being Boards.

And he believes there will be a greater public voice and level of scrutiny on the new CCG board as it will meet in public and include two lay people, one an expert in patient representation, plus six GPs who form the majority of board members.

“We’ve never had before such direct influence, where what happens at the coalface changes what happens at board level.

“I’m not toeing the party line here - I’ve never seen as much GP engagement before.

“Blackburn with Darwen GPs are very vocal, they hold strong opinions and they are very passionate about the care patients receive.

“I don’t think anybody here would be afraid of helping to change the direction if that is what was needed.

“Locally the people involved will not allow the care of our patients to suffer and we will keep improving.

“On the whole the NHS is a fantastic institution and we will keep that going.”

Comments (10)

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3:38pm Fri 2 Mar 12

jimpy0 says...

Maybe he can explain to me why we have an alleged state of the art hospital in Blackburn, yet have to send ALL Gyno and pregnancy cases to Burnley and ALL cardiac to Manchester or Blackpool and the majority of cancer patients to Manchester. They spent a fortune building and advertising the fact Blackburn has a cardiac catheterisation suite, but it never gets used. Women with Gyno probs are sent to Burnley for scans, camera's ------------ this is a result of the creating clinical centres of excellence programme, to gain funding for certain hospitals whilst depriving patients of even basic care in others.
Maybe he can explain to me why we have an alleged state of the art hospital in Blackburn, yet have to send ALL Gyno and pregnancy cases to Burnley and ALL cardiac to Manchester or Blackpool and the majority of cancer patients to Manchester. They spent a fortune building and advertising the fact Blackburn has a cardiac catheterisation suite, but it never gets used. Women with Gyno probs are sent to Burnley for scans, camera's ------------ this is a result of the creating clinical centres of excellence programme, to gain funding for certain hospitals whilst depriving patients of even basic care in others. jimpy0

4:15pm Fri 2 Mar 12

tonygreaves says...

Has Dr Clayton declared his interst and told everyone how much he is being paid to chair this new body?

Tony Greaves
Has Dr Clayton declared his interst and told everyone how much he is being paid to chair this new body? Tony Greaves tonygreaves

5:05pm Fri 2 Mar 12

Noiticer says...

It would be interesting to see the links between potential private medical providers and medical practitioners and politicians and ex-politicians who are directors of such companies.
Yes we want a joined up NHS which works as a co-operative not for profit organisation but not one where each unit is separate and charging for use of premises and services and where private companies are taking advantage to offer treatments and other services such as admin.
It would be interesting to see the links between potential private medical providers and medical practitioners and politicians and ex-politicians who are directors of such companies. Yes we want a joined up NHS which works as a co-operative not for profit organisation but not one where each unit is separate and charging for use of premises and services and where private companies are taking advantage to offer treatments and other services such as admin. Noiticer

5:17pm Fri 2 Mar 12

mavrick says...

Noiticer wrote:
It would be interesting to see the links between potential private medical providers and medical practitioners and politicians and ex-politicians who are directors of such companies.
Yes we want a joined up NHS which works as a co-operative not for profit organisation but not one where each unit is separate and charging for use of premises and services and where private companies are taking advantage to offer treatments and other services such as admin.
Totally agree, I have to wonder if they became doctors to heal the sick or line their own pockets at expense of the taxpayer? this is the big part of privatising the NHS. creeping privitisation is now gathering pace. The tories and lib dems will break the NHS up before an election,
[quote][p][bold]Noiticer[/bold] wrote: It would be interesting to see the links between potential private medical providers and medical practitioners and politicians and ex-politicians who are directors of such companies. Yes we want a joined up NHS which works as a co-operative not for profit organisation but not one where each unit is separate and charging for use of premises and services and where private companies are taking advantage to offer treatments and other services such as admin.[/p][/quote]Totally agree, I have to wonder if they became doctors to heal the sick or line their own pockets at expense of the taxpayer? this is the big part of privatising the NHS. creeping privitisation is now gathering pace. The tories and lib dems will break the NHS up before an election, mavrick

5:46pm Fri 2 Mar 12

ossylad says...

tonygreaves wrote:
Has Dr Clayton declared his interst and told everyone how much he is being paid to chair this new body?

Tony Greaves
My God I have read it all now.
How much has Lord Greaves made from the Lords and the Council. Talk about kettles ,pots and calling them black!!!
[quote][p][bold]tonygreaves[/bold] wrote: Has Dr Clayton declared his interst and told everyone how much he is being paid to chair this new body? Tony Greaves[/p][/quote]My God I have read it all now. How much has Lord Greaves made from the Lords and the Council. Talk about kettles ,pots and calling them black!!! ossylad

7:18pm Fri 2 Mar 12

Germanbite says...

There are far too many rather large ego's in the medical profession for this to work.
The only thing that is guaranteed is that the existing post code lottery for patients will get a lot worse.
GP practices will end up stitching each up for business with patients living in one street getting one type of service and people down the road another.
There are far too many rather large ego's in the medical profession for this to work. The only thing that is guaranteed is that the existing post code lottery for patients will get a lot worse. GP practices will end up stitching each up for business with patients living in one street getting one type of service and people down the road another. Germanbite

12:03pm Sat 3 Mar 12

Brian Todd says...

I feel that this is only a partial story. The full effects of the proposals will be much more significant for most patients but the will be good news for the private suppliers of health care services.
I am not sure how we, the patenis will have a better say with the Clinical Comissioning Group exclusively appointed people????
Sounds a bit like a selling article rather than an objective assessment of the possible result.
I feel that this is only a partial story. The full effects of the proposals will be much more significant for most patients but the will be good news for the private suppliers of health care services. I am not sure how we, the patenis will have a better say with the Clinical Comissioning Group exclusively appointed people???? Sounds a bit like a selling article rather than an objective assessment of the possible result. Brian Todd

6:58pm Sat 3 Mar 12

Phillisofical says...

When will these lot start looking at what they're doing to the local economy and stop robbing the NHS to feather their own nests. My daughter and I worked for a PCT my husband and and father-in law worked for the local authority and we have all been made redundant in the past 9 months, after 16 years of doing OK we are now a family on the dole and fighting to save our house. How does Dr Clayton think that reading that him and the GP's are supporting the changes feels? We have no jobs, no prospects, and no future. Have GP's thought how many people will be on the dole by them ruining the NHS? This 'chairman' is talking for all the GP's in East Lancashire and he's deciding our future? He should be thinking what he's going to do to save the NHS and protect the services - not saying its a fantastic institution and then stabbing it in its back. Shame on you all.
When will these lot start looking at what they're doing to the local economy and stop robbing the NHS to feather their own nests. My daughter and I worked for a PCT my husband and and father-in law worked for the local authority and we have all been made redundant in the past 9 months, after 16 years of doing OK we are now a family on the dole and fighting to save our house. How does Dr Clayton think that reading that him and the GP's are supporting the changes feels? We have no jobs, no prospects, and no future. Have GP's thought how many people will be on the dole by them ruining the NHS? This 'chairman' is talking for all the GP's in East Lancashire and he's deciding our future? He should be thinking what he's going to do to save the NHS and protect the services - not saying its a fantastic institution and then stabbing it in its back. Shame on you all. Phillisofical

9:27pm Sat 3 Mar 12

Grip_89 says...

So why is Dr. Clare Gerada, Chair of Royal College of GP's telling us that their members are opposed to the nhs reforms?
So why is Dr. Clare Gerada, Chair of Royal College of GP's telling us that their members are opposed to the nhs reforms? Grip_89

10:41pm Sat 3 Mar 12

LornaDoone says...

I work within the NHS and accept that efficiencies must be made. Although the majority of patients use NHS resources sensibly I am amazed each day to see a high numbers of patient’s demanding services and treatments that are more related to ‘want’ than ‘need’. Need is something we have to have whilst want is something we would like to have! The NHS was established to ‘provide health care free at the point of delivery … in response to need’ yet increasingly I see ‘wants’ being demanded under legislation that promotes ‘patient rights’ but what these patients often fail to take into account are their own responsibilities associated with how they spend taxpayers money. It’s time the government initiated a high profile campaign to ensure that patients are fully aware of their own responsibilities to promote a better understanding of the base value of the NHS. If all patients understood and accepted their own responsibilities then he NHS would save a NHS a fortune that could then be spent on those who really need it. I assume that the potential for ‘political suicide’ prevents politicians from adopting such an approach. We should also remember that these reforms were imposed upon GP’s and undoubtedly they will meet the full force of public and patient resentments to any efficiencies that have to be made. Change is never easy and it would seem, from some of the comments above, that GP’s will be escalated to the position of 'reform bill scapegoats'.
I work within the NHS and accept that efficiencies must be made. Although the majority of patients use NHS resources sensibly I am amazed each day to see a high numbers of patient’s demanding services and treatments that are more related to ‘want’ than ‘need’. Need is something we have to have whilst want is something we would like to have! The NHS was established to ‘provide health care free at the point of delivery … in response to need’ yet increasingly I see ‘wants’ being demanded under legislation that promotes ‘patient rights’ but what these patients often fail to take into account are their own responsibilities associated with how they spend taxpayers money. It’s time the government initiated a high profile campaign to ensure that patients are fully aware of their own responsibilities to promote a better understanding of the base value of the NHS. If all patients understood and accepted their own responsibilities then he NHS would save a NHS a fortune that could then be spent on those who really need it. I assume that the potential for ‘political suicide’ prevents politicians from adopting such an approach. We should also remember that these reforms were imposed upon GP’s and undoubtedly they will meet the full force of public and patient resentments to any efficiencies that have to be made. Change is never easy and it would seem, from some of the comments above, that GP’s will be escalated to the position of 'reform bill scapegoats'. LornaDoone

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