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Emergent response

First, NHS Chief Executive Sir David Nicholson predicts there will be “no great surprises” in the Department of Health’s (DH) next steps, claiming that there was “broad support” from nearly all parties. But while few argued against the concept of GP-led commissioning, a huge range of concerns were raised about the reforms and over the […]


Can the GP’s own accountant be appointed to manage the finance of a consortium if the GP is in the management team? S Kumar, London

It is always advisable for any organisation to invite several firms of accountants to tender for the appointment of accountants and business advisors. A GP Consortium will need to appoint a firm of accountants who are acquainted with the very significant changes to the NHS arising from July's White Paper: Equity and Excellence: Liberating the […]


High price of success

It remains our position that we have to have our expenses met," says Dr peter Holden, a gp in Derbyshire and a veteran of the negotiating team of the British Medical Association's (BMA) GPs' committee (gpc). "If not, we've been singled out for adverse treatment."


Rationing decisions

One aspect of GP commissioning making many doctors feel queasy is the prospect that they will have to shoulder the blame for rationing care. Health Secretary Andrew Lansley has made it clear that in the new world of bottom-up decision-making, GPs will be accountable to patients for the way they manage the commissioning budget.


Stress levels rising?

Some GPs are complaining that the new changes the UK's coalition government is set on enforcing are "a bridge too far", forcing greater numbers of older GPs to leave the profession early and causing young doctors to avoid it. The family doctors' fears come in the wake of July's white paper, detailing plans for them […]


Emergent response

First, NHS Chief Executive Sir David Nicholson predicts there will be “no great surprises” in the Department of Health’s (DH) next steps, claiming that there was “broad support” from nearly all parties. But while few argued against the concept of GP-led commissioning, a huge range of concerns were raised about the reforms and over the […]


Long-term pain sufferers “need help”

Many people are unaware of how to take pain medicine properly and have no knowledge of potential side effects, a survey of about 4,400 members of public found. About one third of the 1,200 people with chronic pain are not taking the drugs as prescribed to them. A total of 57% were in the dark […]


GP chief calls for flu vaccines ban

Shortages of vaccines in the NHS are partly down to people who are healthy buying flu jabs from pharmacies, according to Dr Clare Gerada, chairman of the Royal College of GPs. A total of 50 people have died in England during the winter outbreak, with hundreds in hospital, and GPs across the country reportedly running […]


Cameron: We must learn flu lessons

Prime Minister David Cameron has said the UK needs to learn its lesson from this winter's flu vaccine shortages, with the country facing "significant outbreaks" for years to come. GP surgeries across Britain were forced to turn away vulnerable people this week due to the shortages, while the flu death toll rose to 50 since […]


Flu vaccine ordering online for GPs

Flu vaccine supplies are available to doctors' surgeries online, the Department of Health's director of immunisation says. Professor David Salisbury said: "We have now got online ordering so that GPs will be able, from Monday, to simply order online from us and we will get deliveries very quickly, of large doses, large stocks of vaccine […]