Chris Croft's Personal Blog

January 19, 2011

GP commissioning – the worst idea ever

Filed under: Managing People, News and Politics — chriscroft @ 7:46 pm

What were they thinking? Cameron hasn’t been too bad so far, some really good stuff, but he’s gone off the rails with this one, and everyone I talk to seems to agree. Did he not ask anyone?

The GPs just aren’t suitable for the commission role – they are too busy, don’t want to do it (most of them don’t really even want to manage their own practices let alone manage a load of NHS bureaucracy), don’t know how to do it (haven’t been trained, have no experience) and will just be wasting all their hard-earned and valuable clinical knowledge to do a management job instead. They’ll be much more expensive than the equivalent (current PCT or new alternative) manager, and not as motivated.

Of course there are some who want to do it, and some who will be great at it. Others will find ways to make money out of it. Most will move across all the existing people, paying expensive redundancy on the way and then re-employing them, and all will be the same except for an expensive period of crazy upheaval (yes, another step towards change fatigue and collapse of the whole thing) and then a finished situation with an extra link in the chain – an expensive and weak extra link.

But what annoys me most about this is that it’s another failure of management. “Can’t run a local council’s IT department?” Give it to a private company. “One or two PCTs not very efficient?” Give the whole lot, even the great ones, to someone else to have a go. Surely it would have been better to analyse which are the good and bad ones, and then just fix the bad ones, by putting in some better managers. It’s what normal organisations do.

How I hate to watch a slow motion car crash, that’s wasting money and possibly costing lives too…

Thanks for letting me rant.

PS – and of course, the Tories have no mandate from the electorate, having promised us that the NHS would be ring fenced. A bare faced lie!



  1. Could it be that David Cameron isn’t stupid, but in fact clever, and that his plan is to destroy the NHS and be able to blame it on the doctors? Why would he want to do that? Partly ideological, but mainly pragmatic – we can’t afford the NHS, and if some or all gets privatised (a la the dentists, who disappeared without a squeak from the public) that saves lots of money, and also if it gets harder to get treatment, and you maybe even have to pay, then demand will reduce, which in turn increases the government’s negotiating power over the doctors. Thanks for these ideas goes to Andrew and Julian – awesome thinkers!

    Comment by chriscroft — January 22, 2011 @ 8:58 pm

  2. Looks like 98% of nurses agree with me!

    Comment by chriscroft — April 18, 2011 @ 6:55 am

RSS feed for comments on this post. TrackBack URI

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

Blog at

%d bloggers like this: