Dr Paul Cook is medical adviser, commissioning development, for NHS Derbyshire County.
Delivering the QIPP targets is proving a tough challenge for GP practices. Paul Cook offers some practical ideas on how to remove the obstacles in the way.
A PCT has won agreement from most of its 94 PMS and GMS GP practices to accept an expanded set of “core” and “extended” services in their contracts, and reduce variation in their funding. Dr Paul Cook and colleagues, who led the project, explain how they achieved it.