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PJ Online homeThe Pharmaceutical Journal
Vol 276 No 7403 p646
3 June 2006

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Private company challenges monopoly of GPs with first contract to run medical practice

For the first time, a private company has won a contract to run a GP practice and walk-in centre, health minister Lord Warner announced last week. The deal, brokered by the Government, will allow a private company to break the existing monopoly of independent GPs.

Care UK, a company specialising in the delivery of community and primary care, will run a 7,000-patient GP practice and a 100-patient-per-day walk-in centre under a contract with Barking and Dagenham Primary Care Trust.

Making the announcement, Lord Warner said: “We made it quite clear that where NHS patients could not rely on existing GP practices to provide them with a good standard of service, we would turn to new providers. This new competition can only be good news for NHS patients as it will deliver a wider range of services open at more convenient times.”

Similar contracts are close to agreement in five other areas hardest hit by poor access, including Hackney, Liverpool, Lancashire, Plymouth and Yorkshire. The Department of Health says that the contracts include plans for Saturday morning, breakfast and teatime surgeries, with practices open as early as 7am and as late as 10pm; direct access to medical tests and local care for diabetes, asthma and arthritis in a community setting; and nurse and GP visitors for nursing and residential home patients.

The deal is part of a national programme — the Innovation in Primary Care Contracting pilots — aimed at improving and expanding local NHS services in areas where it has been difficult to recruit GPs.

Sharon Morrow, head of medicines management at Barking and Dagenham PCT, told The Journal: “There are no plans to open a pharmacy in the walk-in centre. There are two community pharmacies in close proximity [so] the area is quite well served. Also, the PCT has recently approved an application for a new pharmacy to open 100 hours per week.”

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