GPs must be involved in Scotland redesign, says BMA Scotland

 GPs must be involved in the reconfiguration of the NHS in Scotland if the new system is to be a success, BMA Scotland has warned.

The Scottish Government has proposed to replace community health partnerships (CHPs) with new health and social care partnerships in order to deliver care through shared budgets and targets.

BMA Scotland welcomes the switch but has said that clinicians should be at the “very heart of implementing changes” to ensure they are not “doomed to failure”.

The Association has called for GPs to take on a central role on the new partnership boards and wants reassurances the reforms will not result in the shift of work from secondary care to GPs in primary care.

“We have always advised a review of CHPs,” said a BMA spokesperson. “We are very concerned about the failure of these locally and a lot of GPs have walked away from them. If this gives us an opportunity for improvement, then we welcome it.

“But we want ensure GPs are involved in the new boards and that clinicians are also at the very heart of implementing changes. We need to ensure it will not lead to any further shift of work to primary care. That shift is not resourced either in terms of staff, premises or funding.”

Nicola Sturgeon, Cabinet Secretary for Health, said the changes are part of the Scottish Government’s commitment to creating a system of health and social care that is “robust, effective and efficient”.