The National Institute for Health Research Collaboration for Leadership for Applied Health Research and Care (CLAHRC) for Northwest London recently held a networking event to explore potential links between the NW London CLAHRC and GP Consortia in London. Amongst the speakers were myself; David Stout, Director of the Primary Care Trust Network, NHS Confederation; Dr Alan Cohen, Director of Primary Care, West London Mental Health Trust; Professor Derek Bell, Director, NIHR CLAHRC for Northwest London; and Ganesh Sathyamoorthy, Head of Operations and Delivery, NIHR CLAHRC for Northwest London. My talk at this meeting was on what role public health specialists could play in the new GP consortia. There are a number of areas in which public health specialists could support the new GP consortia, including needs assessment, planning health services, implementing preventive health care programmes, and evaluation of new programmes.
NHS budgets are under considerable pressure. It is therefore unsurprising that many NHS Integrated Care Boards (ICBs) In England will aim to prioritise price in contract awards, But this approach is a significant threat to community-centred healthcare. While competitive tendering is a legally required, an excessive focus on costs in awarding NHS contracts risks overshadowing key factors such as established community trust, local expertise, and the long-term impact on continuity of care. This shift towards cheaper, often external, commercial providers threatens to cut the links between communities and their local health services. The argument that competitive tendering is solely about legal compliance, and not cost, is undermined by the very nature of such tendering, which by design encourages the lowest bid. This approach risks eroding the social fabric of local healthcare provision, where established relationships and understanding of specific community needs are essential. Establishe...
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