HSJ’s round up of the day’s must read stories and debate

Keeping everybody happy

What is the cardinal rule of creating a new multispecialty community provider? You have to keep GPs onside.

NHS England was clear about this when it published the MCP framework in July.

However, the task of keeping GPs happy is not as easy as it may seem. At least not if this CCG is anything to go by: Wakefield CCG was accused earlier this month by local GPs, through a letter from their local medical committee, of “inadequate consultation” over plans to move to a “virtual MCP” by next April.

The docs were also worried that if they were to buy in to this “virtual MCP” model – or alliance model, as the framework puts it – they will automatically progress on to the next stage – a fully integrated model – without consultation.

Wakefield LMC has been clear: progression to a more integrated model cannot happen without agreement from “every individual GP practice” in the patch.

Then there is the question of what happens to the practices which don’t sign up? Are they to be starved of any funding beyond what their core contract offers? This is a tricky issue but certainly one CCGs will have to address if they don’t want to be seen as forcing a practice into an MCP.

Wakefield CCG, to its credit, has said it will revise its five year primary care plan – due to be submitted to NHS England by 23 December – following any feedback it receives from GP members.

Quality control

One of England’s most high profile trust chief executives has said there should be “one regulator” which brings together NHS Improvement and the Care Quality Commission.

Dame Julie Moore – who runs University Hospitals Birmingham and Heart of England FTs – told HSJ: “I think there should be one regulator responsible for doing it all and I think it needs to be proportionate and I think it needs to be much more intelligence led, and not so absolute in what it does.”

She also said she believed trusts were currently “over regulated”.

Last month, chief inpsector of hospitals Sir Mike Richards said regulation “might well move” to a single organisation overseeing quality and finance in the future.

When he was asked if it was necessary for the CQC and NHS Improvement to exist separately, he said: “I think this is a process of evolution now. Whether we will have separate quality and finance regulation in five years’ time, who knows… We might well move in due course – but I’m not calling for this is any sort of hurry – to an organisation that was the improver and an organisation that was both the financial and quality regulator.”

Meanwhile, in an interview published on Monday, Sir Mike has insisted the CQC does not have the power to force trusts to dismiss directors under the fit and proper persons regulations.