The perverse incentives inherent in the ill thought out English system are aired in The Sunday Times (31st March 2013) by Stephen May.
FLAGSHIP health reforms are mired in controversy over members of new NHS commissioning bodies who award lucrative contracts to themselves.
In one case, a clinical commissioning group (CCG) awarded a £150,000 deal to a company created by its chairman. The revelations expose potential conflicts of interest in the first wave of contracts under the health service reforms launched tomorrow.
Critics believe they will blight the 211 new CCGs and drag the government into a fresh row over its NHS shake-up……..
The truth is that not many GPs have engaged with the new arrangements, and those that have are tempted to have business interests which are conflicts of interest. Most GPs like to see their patients, and few either have the interest or the skills to be involved in commissioing. In the RCGP we had an educational programme called “What Sort of Doctor” (WhatSoD} some years ago… It takes a very special, or a disillusioned doctor to take on the extra work and reading, and to run a business: the scapegoat role for government Watch this space, but Welsh GPs predict it will all end in tears in England.