News analysis - The paradox at the heart of practice power

GPs want autonomy and no cut in purchasing power; PCT managers want aligned priorities and cost savings. Mary Louise-Harding reports on a crucial struggle.

Last summer, the Department of Health was jolted into action when a report found that practice-based commissioning had been blighted by 'low uptake' by GPs.
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More information

HSJ Practice Based Commissioning conference
4th April 2006, London
Speakers include Department of Health primary care czar Dr David Colin-Thomé and National Primary Care Development Team primary care contracting clinical director Dr Mo Dewji

Practice based commissioning early wins and top tips
Department of Health, February 2006

Practice based commissioning: achieving universal coverage
Department of Health, January 2006

Making practice based commissioning a reality - technical guidance
Department of Health, February 2005

Practice based commissioning: promoting clinical engagement
Department of Health, December 2004

Practice based commissioning
Department of Health

The National Primary Care Development Team is running a national roll out programme to help PCTs achieve the 100 per cent coverage target by December 2006.

National Association of Primary Care

NHS Alliance

NHS Employers has guidance and updates on changes to the GMS contract, with reference to the new Direct Enhanced Service (DES) incentive to get practices to start managing indicative budgets

Online community site NHS Networks has a PbC forum. Click here to sign up.