The new White Paper telling us what the government wants for patients in need of primary care services is a long-winded read. It is 230 pages of what is currently happening and what changes need to be achieved to enhance primary care capacity, particularly in areas presently under-served, and to achieve diminished hospital admission. Following the furore of the RCN decision to apply for a judicial review, Patricia Hewitt issued a statement to the effect that PCTs could maintain their provider function if this was in the interest of local people. But life in health care is never simple and Our Health, Our Care, Our Say makes the situation quite clear: the tendering and procurement process is to be applied to the community setting. Alternative providers, such as the independent sector and social enterprise organisations, are now invited to tender for business and will need to negotiate with commissioning PCTs and practice-based commissioners on levels of service and costs.
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