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Avon Local Medical Committee is the elected statutory body representing the
interests of GPs.
The LMC provides assistance for general practitioners on all matters relevant
to general practice such as NHS Regulations, GMS and PMS contracts,
complaints and partnership issues. The LMC also represents GPs in discussion
with local Primary Care Trusts.
For the Avon GP Education Programme please go to Documents and Downloads above and click on General Noticeboard
Transforming Provider Services - separation of Provider Services arm from PCT Commissioning
David Nicholson has instructed PCT that GP Commissioners are now the drivers of change responsible for commissioning in the NHS and that PCTs are there to assist them not direct them. At this time our PBC consortia do not have a mandate to represent all GPs and the statutory role for representation rests with the LMC. Avon LMC believes that this commissioning role should lie with local GP leaders who have had their role and their positions for this new and much more important and onerous job mandated through a ballot of all local practices. Avon LMC is working with all of our local PBC consortia to get interim GP Commissioning Consortia approved by 9th October 2010. Until such time that these are in place practices should not feel under any pressure to agree PCT proposals they are not comfortable with.
Avon LMC has made a proposal for an Avon Integrated Care System that would have delegated powers from local GP Commissioning consortia that it believes would deliver an efficient and effective commissioning system for our whole community whilst being highly responsive to local variations. You can read our briefing document - please go to Document Downloads and click on Integrated Care
Here is some of the evidence that supports it:
The Nuffield Trust: Where Next for Integrated Care Organisations in the English NHS?
“Commissioner–provider ICOs would share a number of key characteristics. First, these organisations would be rooted in general practice, which is the only part of the current health system with an enrolled patient population and is closest to the role of care coordinator across providers.”
Chris Ham review of Cumbria Integrated Care Pilot
“The policy on transforming community services could have been a major barrier if the Department of Health had insisted on vertical integration with acute trusts. The approach in the future centres on strengthening primary care (which is already very good) and achieving closer integration with community health services. Vertical integration with acute services is not the answer.”
Or the evidence from:
Nene Commissioning, a commissioning consortium of 75 practices and four localities that has received multiple awards for successful commissioning and delivered significant savings and does so through community teams integrated around practices not hospitals.
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