GPs in revolt at NHS reforms
A rebellion is mounting among Westcountry GPs over a massive project to "part-privatise" some NHS back-office functions.
NHS Shared Business Services (SBS), a 50-50 joint venture between the Government and private firm Steria, has already been criticised for its handling of payments which many family doctors complain is leaving them strapped for cash.
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Plans being considered by ten health trusts in the South West to further hand over so-called "family health service" work to SBS, saving £10 million, has led to further unrest.
The move comes at a time of major NHS reform, with critics warning of profit being put before patient care if the private sector gets greater influence.
Geoff Dennis, practice manager at Falmouth Health Centre, said the experience among his colleagues in Cornwall had not been a positive one since SBS took over payment of invoices for some services last month.
"One practice manager told me the system was a shambles," said Mr Dennis, who speaks for his colleagues on the Local Medical Committee, which represents GPs.
"Another said they'd had nothing but problems and one practice had an invoice rejected because they said the practice was a hotel."
Previously, practices had to email invoices to NHS Cornwall, the primary care trust (PCT). However, paper invoices are now sent to SBS in Yorkshire and queries are dealt with by a call centre in India. Mr Dennis added: "We are not getting the money in a timely fashion and it's creating a headache for all practices – we are keen not to let this filter down to patient care."
Another Cornish practice manager, who asked not to be named, said it did not bode well for plans for SBS to take on further back-office work. "I don't think anyone is very keen," he said.
Robert Knibbs, director of finance for NHS Cornwall, which outsourced the invoice system to SBS, said it was done to make savings to be reinvested in frontline services.
But he admitted there had been some problems: "The transfer of finance and accounting work to NHS Shared Business Services has been largely successful and it means that we now use the same system as most other PCTs in the South West.
"The PCT is committed to ensuring all of our suppliers are paid promptly, but we know there have been some teething problems for a number of suppliers which NHS SBS is working to resolve."
Meanwhile, GPs in Devon, where SBS has a separate deal, also cite problems. In a letter sent earlier this year to the chief executive's department of NHS Devon, Lynette Drew, a practice manager writing on behalf of GPs in Exeter, warned: "The experience of practices within NHS Devon of the SBS service is not favourable. There are many instances of invoices taking months to pay, despite using SBS specified template for payments, and then being paid to the wrong account.
"We feel that to move more financial services to SBS would be detrimental for NHS Devon practices."
The revelations come as former Health Minister Ben Bradshaw called for a delay to plans he describes as "part-privatisation".
In September, ten South West health trusts signed an "intention to proceed" with SBS on family health services, which includes patient registration, screening and transfer of records. A contract could be signed next month, leading to scores of NHS staff in the region transferring to SBS.
Mr Bradshaw, Labour MP for Exeter, said: "There are still too many unanswered questions for this to be rushed through."
Jeff James, outgoing chief executive of NHS Wiltshire, who is leading the project on behalf of South West Health Trusts, said all medical data and phone activity would remain in the UK and no confidential clinical data would leave the country.
He added: "It is essential that any future service provider must meet the very high standards demanded by the NHS. We will never make savings at the expense of quality."
Monica Owen, of NHS SBS, said any complaints would be investigated: "NHS SBS takes matters of service quality very seriously and would welcome the opportunity to investigate fully any specific service issues. Our client satisfaction rating currently stands at 95 per cent."








16 Comments
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by jedd33
Thursday, November 24 2011, 11:34AM
“The general public need to be clear that despite NHS statements to the contrary work and patient deatils are going over to India, it's simply a case of how much and how quickly. NHS Devon have refused to impose a cap on the amount of work send to India which should concern ALL patients. NHS Devon have also refused to consult with aptient groups as they know they would object in the strongest terms possible.
Patients should be writing or emailing the Chief Executive of NHS Devon today stating clearly they do not wish any of their details to be sent to India and should also demand a public enquiry, especiially as there is little evidence it will produce any savings.”
by sparkles24
Thursday, November 24 2011, 11:01AM
“Not to worry Isolde, but I just hope that when SBS have failed to make the main contract payment for the practices to "function" that yourself or anyone else you may know doesn't need a GP or Optician. Because the door will say "Closed until further notice"
This is a fact, payment adusjments along with your personal details will be sent to Pune, India and who knows what information could go astray or even sold?
The PCSS have been an ever changing function and they haven't wasted tax payers money - quite the opposite actually. But hey we won't cry over spilt milk!!!”
by DramaQueen50
Thursday, November 24 2011, 9:09AM
“So Jeff James SBS confirm work is going India see question 48 from questions and answers for staff to SBS!!!
Question Will all functions and processes from the current FHS service across Devon be undertaken by NHS SBS within the UK?
Answer 80% of current South West activities will be undertaken in the UK once the Target Operating Model is is place. Registration GP links and GP payment adjustments will be undertaken in Pune, India.
I dont want my Registration details being sent to India Including my name address d.o.b and NHS number does anyone else?????”
by Blazon
Thursday, November 24 2011, 9:05AM
“I agree with you brummie2011”
by brummie2011
Wednesday, November 23 2011, 10:46PM
“I'm intrigued by Monica Owen's comment that matters of service quality are taken very seriously.
Really?
Ever since NHS SBS took on its first tranche of FHS work for some London PCTs there have been reports of difficulties / errors / process flaws that have not been resolved to this day - and they started that contract TWO YEARS ago.
Feedback from the East Midlands is identical.
I think a company that takes service quality matters seriously would stop and take stock of itself and its failings and become a successful organisation that can actually do the things it claims to do before trying to expand or take on any more work elsewhere.
The fact that this poorly performing company is still expanding despite its main customers - the GPs and patients - being appalled by the services is a clear indication of corruption and incentiving taking place. There should be a full public enquiry into why PCTs who hold the public purse and have the responsibility to act in the public interest are clearly failing to do so.
And the client satisfaction rate of 95% is laughable. Their clients - the ones that pay SBS and signed the contracts - are the PCT chiefs and Finance Directors whose motivations are financial and not remotely patient or quality focussed. The real stakeholders whose opinions should mean the most to SBS - the patients, the GPs, the opticians, the pharmacists and the hard working NHS staff - are the ones at the rough end of the SBS experience, and the overwhelming evidence of appalling service from across the country should be the warning sign to not touch SBS with a bargepole. In any other industry a company so poor would have folded by now.
A full public investigation into the motivations of the PCT senior managers concerned, communications and incentivising (including the all expenses paid trips to India that the South West managers went on to visit the SBS call centre - SBS paid for these trips of which 50% is money paid by the Department of Health which is funded by us, the taxpayer) is required immediately. No contracts should be signed until that is done.”
by omnivore23
Wednesday, November 23 2011, 10:05PM
“I do.
..and so does my wife.
...and my neighbours.”
by Isolde
Wednesday, November 23 2011, 10:00PM
“Don't worry, the GP's revolt will only be during office hours and not at the weekend. During these times they will have a telephone revolt only.”
by Joannah
Wednesday, November 23 2011, 9:32PM
“GPs don't want the apple cart upset. They have got it made at present after a contract that more or less allowed them to print money. Does anyone have a GP who isn't:
1. working part time because he earns more than enough even part time,
2. that isn't away half the time on long-haul holidays,
3. that never does week-ends or nights,
4. that does anything more than dispense aspirin,
etc etc
If you have the one GP in the country not covered above let everyone know. He'll be rarer than a polar bear in the Sahara.”
by Gareth2010
Wednesday, November 23 2011, 8:47PM
“One thing Charles. GPs earn profits rather than wages (in part by minimising what they spend on patients). So the benefit of being a business with none of the risk. Guaranteed income, guaranteed customers, = guaranteed profit.
Oh, and GPs aren't part of the NHS. They are private sector providers providing services under contract. Much like SBS some would say.”
by Charlespk
Wednesday, November 23 2011, 7:16PM
“The problem in the Health Service today is that too many Doctors have now forgotten why they became Doctors. . They demand salaries and conditions, (no weekends etc.) that they would have no chance of achieving in any commercial enterprise. . . It's a bad joke that it's the Bankers and Business that have to meet 'targets' to avoid bankruptcy or redundancy that are the ones coming under the spotlight since the economy imploded under Socialism of sorts.”