CCGs merging: I've just read that 3 CCGs in my... - Thyroid UK

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CCGs merging

AnotherEarlyRiser profile image

I've just read that 3 CCGs in my area are to merge "to reduce some of the health inequalities seen across the county and to reduce duplication and bureaucracy." It's also apparently "a great opportunity to improve healthcare".

As my GP has been (fairly) happy prescribing me T3 for the past few months, do you think I'm being unduly pessimistic to worry about what they'll want to "improve" for me? :(

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AnotherEarlyRiser
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9 Replies
MaisieGray profile image
MaisieGray

You could do a search here, to see how T3 prescribing in the other two CCGs compares with your CCG. openprescribing.net/

It's comforting to know that this nonsense with CCGs is following exactly the same pointless and costly pattern as for instance, PCGs and PCTs, and probably all other examples of the bureaucratic decentralisation/recentralisation merry go round.

Marz profile image
Marz

Tiz all part of a bigger plan - already being trialled in Cornwall. Will be called Primary Care Networks and all part of the Private Finance Initiative. You may wish to check out videos by Dr Bob Gill on-line. The most recent one was posted by Londinium

Sadly it wil not improve Healthcare unless you can afford Gold Standatd Private Care - and even then ....

Judithdalston profile image
Judithdalston in reply toMarz

Thanks for those links...I am always very sceptical that current gov.’s improvements are designed to privatise, put money / profits into commercial companies’ hands, and ultimate reduce the service to the public...just seems worse re NHS as private bodies see it as a cash cow.

humanbean profile image
humanbean in reply toJudithdalston

The government motto with regard to the NHS is "Defund. Demonize. Privatise". The last one of those is well advanced. See this website for more info :

nhsforsale.info/

MaisieGray profile image
MaisieGray in reply toMarz

Marz As I understand it, merging CCGs and the formation of Primary Care Networks are two separate things. CCGs have been merging since the first merger in 2015 when NHS Gateshead, NHS Newcastle North & East and NHS Newcastle West CCGs merged to form NHS Newcastle Gateshead CCG, and in total I think about 30 CCGs have merged so far, to form around 10 new ones. I believe the driver for CCGs to merge has been the mandated 20% administrative budget cuts demanded of them. Separately, the formation of PCNs is part of the Network Contract Directed Enhanced Service Contract Specification 2019/20 which applies from July this year, although there have been some pre-agreed PCNs put in place in advance of the contract start date. Since a PCN is normally (but not always) a group of general practices working together with a range of local providers, to (allegedly) offer more personalised, coordinated health and social care to their populations, its difficult to see how combining practices to offer a more personalised service can be other than downright contradictory.

I think you're right about the bigger plan, it's not difficult to connect the administrative savings demanded of CCGs with the £billions required to fund GPs participating in PCNs.

Marz profile image
Marz in reply toMaisieGray

Thank you MaisieGray for the additional information and explanation.

Listening to Dr Gill it would seem GP's are being offered more money in exchange for a system which may not give job satisfaction due to guidelines/restrictions . We wll have to wait and see - but possibly not for long ...

Marz profile image
Marz

Ummm - not sure they do ..

After the CCGs have merged, what happens to the redundant staff?

Do they get Golden Handshakes or are they advised to search

jobs.nhs.uk/ 17,509 live jobs

See T3 campaign update 26/03/2019

thyroiduk.org/tuk/campaigns...

You might be, Southampton Trust joined with Portsmouth then split up then joined again, I cannot imagine the cost.

A good friend who was a manager in Southampton Hospital couldn't believe what was going on and the costs involved. The walk in clinic in Shirley Southampton was closed suddenly and the other one only remains opened because the people in Bitterne protested. The cost to visit a walk in center was the cheapest option, so guess what it was closed.

Nobody is really accountable and until then, who knows?

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