The new nhs architecture
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The new nhs architecture
- 1. THE NEW NHS ARCHITECTURE A new adventure by Lewis Carroll
- 2. DH SHA SHA SHA PCT PCT Commissioning GPs
- 3. NOW - PAYMENT BY RESULTS = ACTIVITY ce ch oi Same price everywhere = tariff Compete on quality Increasing throughput = more income
- 4. NOW - PRACTICE-BASED COMMISSIONING Commissioning PCT Savings to be invested in NHS care These could be private providers
- 5. EFFECTIVE COMPETITION? WASTE OF ENERGY?
- 6. Private Companies PCTs LA DH Commissioning Inexperienced Unkeen Busy GPs Excited
- 7. ANY WILLING PROVIDER NHS PATHWAY 3RD SECTOR CONSO RTIUM PRIVATE SECTOR CHOICE REFERRAL DIAG TREAT
- 8. AN INCENTIVE TO OFFER LESS. A CONFLICT OF INTERESTS consortium £ ------------------------------------------------------------------------------------------------ Consortium Quality premium Paid back to consortium
- 9. AN INCENTIVE TO OFFER LESS. A CONFLICT OF INTERESTS. AN OPPORTUNITY TO MAKE MONEY £ consortium Company owned by consortium Paid back to consortium
- 11. RISKS TO PATIENTS • The cuts to the rest of the system • The effective cuts to the NHS – 40% management cuts now • Longer waits • Disintegration • Reduced services • Top-ups • GP conflicts of interest