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Should it be GPs, not the CQC, in the driving seat? ROY LILLEY thinks so. Here, he discusses the Francis Report before it comes out
ROY LILLEY
is executive editor of Practice Business. He is also an independent health and policy analyst, writer and broadcaster and commentator on health and social issues.
Switch drivers I
’ll let you into a secret; since I have started working with the editor of this magazine she is on tranquilisers, in therapy and a nervous wreck. The reason? I hold-off filing copy until the last moment. I like ‘topical’. So it is that I had hoped to be able to talk about the Francis Report into the goings on at Mid-Staffs. Alas, I am defeated. Unless I write now I’ll miss the deadline completely and the editor would be last seen on the roof! I can only guess that Francis will be
excoriating about the Care Quality Commission; about its performance in the past and the prospects for its future.
It seems implausible to me that you can bureaucratise quality and manage it from a desk in London. It seems daft to me to expect random inspections to turn up at the right time and turn-up anything we don’t know. It is inconceivable that anytime soon we will wipe away the corrosive fear staff have at the thought of blowing the whistle. The best the CQC can hope for is to turn up and count the dead. The CQC are not bad people, they’ve just been dealt a bad hand to do an impossible job. Who should be responsible for quality? Boards of trusts, certainly. They should be legally, go- to-jail-if-they-get-it-wrong responsible. But, who should inspect it and wave the red flag? I think GPs in clinical commissioning groups should be. As it stands, GPs can commission a
08 february 2013
Francis might suggest! I’ll tell you next time. If there’s time. (Sorry Ed!)
Editor’s note: We are currently recruiting for columnists with proven prophetic experience. Only experienced soothsayers need apply
I think we should look to GPs to buy our care and be sure it is what we get…and hold their feet to the fire if they don’t
service that turns out to be rubbish and they will look up and ask the CQC why. I think we should look to GPs to buy our care and be sure it is what we get… and hold their feet to the fire if they don’t. Disband the CQC, give the money to the CCGs along with the legal responsibility to commission with consequences. Of course, you never know; that’s just what
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