What are ACOs and what do they mean for GPs?

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Northerner

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Plans to develop accountable care organisations (ACOs) in the NHS have proven controversial. GPonline looks at whether they are simply a pragmatic way to facilitate NHS integration, or a one-way ticket to NHS privatisation.

What are ACOs?

ACOs are organisations contracted to provide an agreed range of health and care services to a defined population, generally in return for an annual capitated budget. They provide the vast majority of health and care services to everyone in a geographic area, under a single contract agreed with commissioners.

In England, the organisations would be the final stage in the evolution of the 44 sustainability and transformation partnerships (STPs) set up from 2015. NHS England's Five Year Forward View policy paper said the 'traditional divide between primary care, community services and hospitals – largely unaltered since the birth of the NHS – is increasingly a barrier to the personalised and co-ordinated health services patients need', and called for greater integration of services.

https://www.gponline.com/acos-mean-gps/article/1454186

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Aye, Right. ACO. I think that acronym will come to stand for Another Crap Organisation.

How come NHS Scotland works just fine without CCGs and ACOs? Because it’s run in much the same way NHS England was before everybody started fiddling with it to make it more efficient. Management has trebled - or maybe more - with no discernible effect. The NHS is not a business. It’s a service.
 
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