GPs don’t have “time or inclination” to make necessary changes to NHS, report says

BMJ 2013; 346 doi: (Published 07 January 2013) Cite this as: BMJ 2013;346:f102
  1. Nigel Hawkes
  1. 1London

Clinical commissioning groups will need an unusual combination of skills to meet the challenges that the NHS in England faces, new research concludes.1

And it is far from clear that GPs­­­—the chosen instruments for exercising clinical leadership under the reorganisation of the NHS—have either the time or the inclination to make it work.

John Storey and Richard Holti of the Open University studied the role of clinical leadership in the redesign of sexual health and dementia services in London and Manchester. They said that clinical leadership was often seen as the answer to the problem of managing rising demand without any more money, but they added that such declarations often underestimated the actual challenge and failed …

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