BMJ  2007;335:907 (3 November), doi:10.1136/bmj.39381.490139.DB

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Practice based commissioning lacks adequate information and support

London

The first 150 words of the full text of this article appear below.

Primary care trusts still fail to give GPs the information and support they need to be effective practice based commissioners, according to a health policy analyst.

"If practice based commissioning exists," Richard Lewis, director of Ernst and Young, told a conference in London, "it has been in spite of this lack of support and not because of it."

A recent poll of practice managers and GPs by the King's Fund and NHS Alliance showed that most rated the support they received from their primary care trusts as inadequate. Almost two thirds said that they were either not receiving financial information or were getting information that was of little use (see BMJ 2007;334:1079 doi: 10.1136/bmj.39220.489306.DB).

Despite this almost three quarters were still committed to practice based commissioning, and more than half felt it would help improve care "to some or a great extent" in the coming year.

But Mr Lewis . . . [Full text of this article]

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