Why government health reforms make GPs the administrators of NHS cuts

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The quality of patient care is dependent, primarily, on the bottom line of a GP's budget, writes BMA deputy chairman Dr Kailash Chand.

Money to primary care is shrinking by the minute. A PMS contract overhaul set out by NHS England could further strip more than ?200m from general practice.

At a time when practices are being crushed by massive workload, and GP recruitment and retention is reaching a crisis point, this will further sink the morale of the profession. Therefore it is unsurprising that the diminishing funding for the NHS, combined with increased pressure and demand on services, has led to speculation that certain services might in reality face rationing in certain circumstances.

Whilst clinical commissioning could potentially lead to an NHS that is more responsive to the needs of the local community and empower doctors to get more involved in shaping services, the current financial squeeze is going to make this progressively more difficult.

http://www.gponline.com/Opinion/art...t-health-reforms-GPs-administrators-NHS-cuts/

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