Intended for healthcare professionals

Rapid response to:

General Practice

New Zealand's independent practitioner associations: a working model of clinical governance in primary care?

BMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7221.1340 (Published 20 November 1999) Cite this as: BMJ 1999;319:1340

Rapid Response:

Hospital Trust Representatives on PCG Boards

Dear Editor,

Malcolm and Mays recomment certain advise to the UK PCG's based on
the experience from New Zealand. There is no mention about represantation
of the Acute Hospital Trusts on the Boards of PCG's.

The NHS professions are asked to break down barriers between
professional groups, to integrate our appraoch to the provission of both
primary and secondary care and to maximalise utilisation of our limited
resources. Many Hospital Trusts currently have GP representatives on thei
executive boards. This has proved very useful.

The lack of hospital representation on the PCG boards is, in my view,
a serious deficiency. PCGs and PCTs will be responsible for the overall
management of wide range of patient care provissions including secondary
care. Social Services, the Community, pharmacists and other agents are
represented, considered important and their views are therefore heard.
Hospitals that provide the bulk of secondary care are not. This
perpetuates the Purchaser Provider split created by the previous
Conservative Government. It is also not in tune with the recommentations
of the current government (NHS a first rate service) The lack of hospital
representation will result in decisions taken by PCG/PCTs that will be
misinformed. It will also create barriers between primary and secondary
care and lack of effective comminication between the two main pillars of
health care provisions in the NHS.

References:

1. Malcolm L, Mays N. New Zealand's independent practitioner
associations: a working model of clinical governance in primary care? BMJ
1999; 319: 1340-2.

Competing interests: No competing interests

19 May 2000
C Maimaris
Consultant, Accident and Emergency
Addenbrooke's NHS Trust