STRUCTURE: A pathfinder consortia is struggling to fill clinical leadership positions, a report to the board of NHS North Somerset reveals.

The commissioning consortia covers Bristol, North Somerset and South Gloucestershire (BNSSG). It will have a partnership board and will share back office services such as contracting, workforce and procurement but each of the three areas will also have its own board coterminous with the local authority and able to commission services at a more local level. The consortia is in the process of drawing up a job description for the position of GP Commissioning Development Director to drive the work forward. It is expected the post will be a secondment from across BNSSG.

A report to the PCT board warns that there is a risk not enough GPs will stand for the clinical leadership positions in the Woodspring area.

The report states the GP Forum has agreed the following mitigating actions:

1)   Encourage more GPs from Woodspring area to stand for the leadership group.

2)   To support all those who have expressed an interest, irrespective of area, by putting them automatically on the leadership group up to a maximum number of seven GPs and two practice managers – thus suspending the need for an election up to this maximum.