Alongside the large changes in NHS commission and the end of PCTs and SHAs you might not have noticed that Deaneries are also planned to be scrapped. The government has published a white paper 'Liberating the NHS:Developing the Healthcare Workforce' where it talks about setting up local skills networks which will commission and provide education and training.
Their proposals however are very unclear. What is so bad about the current system? What will be the size of these skills networks? What is the evidence that replacing a large system that attempts to deal with workforce planning issues be improved by replacing them with smaller networks? What is to reduce the threat that large foundation trusts will dominate these networks and use their power to create training jobs to staff EWTD rotas rather than meet and increasing need for GPs in a 'GP led NHS'?
The RCGP has published its response to the consultation - click here to download the pdf of what they have send to the Department of Health.
It is impossible to find an answer to my questions in the document and the proposals are unjustified, unclear and if carried out will seriously damage Medical Education and Training!
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