Reforms 'may not give GPs freedom'

&Tab;&Tab;<div class&equals;"wpcnt">&NewLine;&Tab;&Tab;&Tab;<div class&equals;"wpa">&NewLine;&Tab;&Tab;&Tab;&Tab;<span class&equals;"wpa-about">Advertisements<&sol;span>&NewLine;&Tab;&Tab;&Tab;&Tab;<div class&equals;"u top&lowbar;amp">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;<amp-ad width&equals;"300" height&equals;"265"&NewLine;&Tab;&Tab; type&equals;"pubmine"&NewLine;&Tab;&Tab; data-siteid&equals;"111265417"&NewLine;&Tab;&Tab; data-section&equals;"2">&NewLine;&Tab;&Tab;<&sol;amp-ad>&NewLine;&Tab;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;<&sol;div><p><a href&equals;"http&colon;&sol;&sol;londonglossy&period;com&sol;wp-content&sol;uploads&sol;2011&sol;02&sol;reforms-may-not-give-gps-freedom&period;jpg"><img class&equals;"alignnone size-full" title&equals;"NHS reforms could see Health Secretary Andrew Lansley and a new commissioning board granted overly restrictive powers&comma; warns BMA" src&equals;"http&colon;&sol;&sol;londonglossy&period;com&sol;wp-content&sol;uploads&sol;2011&sol;02&sol;min-reforms-may-not-give-gps-freedom&period;jpg" alt&equals;"NHS reforms could see Health Secretary Andrew Lansley and a new commissioning board granted overly restrictive powers&comma; warns BMA"&sol;><&sol;a><&sol;p>&NewLine;<p>The Government&&num;8217&semi;s pledge to give GPs freedom over buying services for patients could be a hollow promise&comma; according to doctors&&num;8217&semi; leaders&period;<&sol;p>&NewLine;<p>The British Medical Association &lpar;BMA&rpar; said NHS reforms could see Health Secretary Andrew Lansley and a new NHS Commissioning Board granted powers that are &&num;8220&semi;overly restrictive and controlling&&num;8221&semi; &&num;8211&semi; but the Government hit back at the claims&comma; with health minister Simon Burns describing them as &&num;8220&semi;nonsense&&num;8221&semi;&period;<&sol;p>&NewLine;<p>The Health and Social Care Bill is currently being debated by MPs with a view to handing 80&percnt; of the NHS budget to family doctors&period; Doctors are forming into groups &&num;8211&semi; &&num;8220&semi;consortia&&num;8221&semi; &&num;8211&semi; to work on commissioning services&period;<&sol;p>&NewLine;<p>The BMA says clauses in the Bill go against Government pledges to put doctors &&num;8220&semi;in the driving seat&&num;8221&semi; and could prevent them from improving patient care&period; The union is concerned that the NHS Commissioning Board&comma; which will oversee commissioning of services&comma; will not be able to operate autonomously and free from political control&period;<&sol;p>&NewLine;<p>Mr Lansley would also be able to impose &&num;8220&semi;any conditions on consortia without review&&num;8221&semi;&comma; according to the BMA&period; The NHS Commissioning Board could dismiss a consortium&&num;8217&semi;s Accountable Officer and could dissolve a consortia without consultation&comma; it said&period;<&sol;p>&NewLine;<p>Dr Laurence Buckman&comma; chairman of the BMA&&num;8217&semi;s GPs committee&comma; said&colon; &&num;8220&semi;The NHS Commissioning Board will be given sweeping powers to get involved with the way consortia operate&period;<&sol;p>&NewLine;<p>&&num;8220&semi;Time and time again in the Bill we see no mention of the need to consult consortia on matters that will have a direct and potentially very significant impact on the way they operate&period; And when it comes to the dissolution of a consortium&comma; the most serious act of all&comma; there is no requirement to consult the consortium or the public&comma; and no recourse for appeal&period;&&num;8221&semi;<&sol;p>&NewLine;<p>Dr Buckman said there were concerns about how restrictive the Bill is&period; As it stands&comma; Mr Lansley and the commissioning board &&num;8220&semi;are being granted powers that are far too wide-ranging and seem to go against the promise to devolve power to local clinicians&&num;8221&semi;&comma; he said&period;<&sol;p>&NewLine;<p>Mr Burns said&colon; &&num;8220&semi;This is nonsense&period; The Bill gives GPs power to purchase and design services on behalf of their patients in a way that isn&&num;8217&semi;t possible at present&period; It also restricts&comma; for the first time&comma; the discretion of ministers to interfere in day-to-day decisions in the NHS&period;<&sol;p>&NewLine;<p>&&num;8220&semi;And it places new legal duties on the Secretary of State and the NHS Commissioning Board to promote autonomy and minimise administrative burdens on the NHS&period; Our modernisation plans will give doctors real influence over the shape of NHS services and how they are run&period;&&num;8221&semi;<&sol;p>&NewLine;&Tab;&Tab;&Tab;<div style&equals;"padding-bottom&colon;15px&semi;" class&equals;"wordads-tag" data-slot-type&equals;"belowpost">&NewLine;&Tab;&Tab;&Tab;&Tab;<div id&equals;"atatags-dynamic-belowpost-69e4a7ccc72f7">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;<script type&equals;"text&sol;javascript">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;window&period;getAdSnippetCallback &equals; function &lpar;&rpar; &lbrace;&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;if &lpar; false &equals;&equals;&equals; &lpar; window&period;isWatlV1 &quest;&quest; false &rpar; &rpar; &lbrace;&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&sol;&sol; Use Aditude scripts&period;&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;window&period;tudeMappings &equals; window&period;tudeMappings &vert;&vert; &lbrack;&rsqb;&semi;&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;window&period;tudeMappings&period;push&lpar; 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