Hospitals could run general practice services in underserved areas

BMJ 2014; 349 doi: (Published 03 October 2014) Cite this as: BMJ 2014;349:g6055
  1. Gareth Iacobucci
  1. 1The BMJ

NHS hospitals could take control of general practice services in parts of England to provide new investment and infrastructure for under-resourced practices, the chief executive of NHS England has said.

In a speech to delegates at the Royal College of General Practitioners’ conference in Liverpool on 3 October, Simon Stevens said that areas where practices were struggling to recruit doctors or to expand their premises to offer more services could benefit from coming under the umbrella of large NHS foundation hospital trusts. He cited areas such as Northumberland and Newcastle,1 where hospital trusts provide list based general practice services as part of moves to integrate primary and secondary care services.

But Stevens stressed that the model would not be appropriate everywhere, citing the royal college’s preferred federations model—in which GP practices cluster together to provide a wider scope of services—as an equally valid mechanism for revamping …

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