What is GP Commissioning?

GP Commissioning is a revolutionary new proposalfunds allocated to the NHS.
which the UK coalition government has introduced inThe White paper therefore proposes to change all
the 2010 Health White Paper. For a long time now, thethat by requiring that all GPs commission health
NHS has been described as a monolithic stateservices and be held directly responsible for budgets
bureaucracy that has done little to improve healthcarefor those health services. This form of commissioning
in the UK.seeks to transfer the management and responsibilities
Past Failuresof health services from hospitals to groups of
And increased funding into the sector has notpractices or consortia.
translated into better service delivery. The GeneralRise of the buying consortia
Practitioners (GPs), who ultimately deal with patients atThese consortia will receive budgetary allocations from
the beginning and end of their experiernce with thea new NHS Commissioning Board that is both
NHS, have not been directly involved in the budgetaryautonomous and accountable. This board will be
planning and decision making in the health sector.responsible for managing and allocating about
This is the reason why Andrew Lansley, the£80billion of the Health sector budget. The consortia
Secretary of Health, proposes drastic changes thatwill, in turn devolve the funds to the various practices
seek to both empower the GPs to have a more directunder them.
and active role in health management, and offer betterChecks and Balances
health to the patients.It will also be easy to keep track of any GP
What, then, is GP Commissioning?malpractices and have the new NHS Commissioning
Otherwise known as Practice Based Commissioning. ItBoard take appropriate action on them through the
is a proposal contained in a bill known as the 'NHSconsortia, rather than have the government doing so
White Paper, Equity and Excellence: Liberating theand consequently incurring additional costs from it.
NHS, 2010'. This White Paper outlines the government'sCriticism
vision to streamline the health sector in the UK overThe idea of GP Commissioning is seen by many as a
the next few years.step in the right direction for the UK healthcare sector.
AimsThere have been, however, a number of concerns in
It aims to improve the quality of service deliveryterms of implementation. Most critics of the White
through empowering GPs to be more involved in thePaper feel that sudden implementation of the
management process of the NHS. It also aims to bringproposed changes is too radical. They opt to see the
patients into the centre of service delivery by makingchanges effected gradually.
them the focus of all that the NHS does.Wait and see
HowOnly time will tell, though, on how effective the NHS
The government intends to achieve this by primarilyWhite Paper will be, if and when, adopted by
devolving the NHS commissioning powers andparliament. However, there is consensus on the fact
responsibility into the hands of GPs. The currentthat the NHS needs urgent reforms and maybe, this
Practice Based Commissioning, which is GPproposed policy of GP Commissioning is the way to
commissioning operating without any real budget orgo for Britain's healthcare.
responsibilities, does not efficiently use the scarce