STRUCTURE: The chair of a pathfinder commissioning consortium has pledged to work with Plymouth Teaching PCT and Plymouth Hospitals Trust.

The Sentinel pathfinder draft work plan, shared with the PCT to gain their input, reveals plans to shadow PCT staff “in order to acquire the necessary skills” to add to clinical knowledge and commission successfully.

The report goes on: “Most importantly Sentinel believes strongly that clinical commissioning will only succeed if all clinicians across primary and secondary care work together. We do not believe in a purchaser/provider split and are committed to working with our secondary care colleagues to alter the health landscape for the whole PHT footprint.”

The pathfinder and the acute trust have already begun working together on improvements for 48 service lines across five key areas. These are obstetrics and gynaecology; elective orthopaedics; cardiology; neurosurgery; and upper gastrointestinal surgery.

Sentinel will align a Sentinel board member with each one of these to prioritise working with PHT to clinically lead from a primary care perspective devolving work to another GP if felt clinically appropriate.