Major CCG reverses decision on patient self-referral

The groups have reversed their initial decision to remove patient self-referral from their MSK specification.

The groups cannot be identified because contracts are still being finalised. However Frontline understands they cover a large population in the North West of England.

‘It is really good news,’ said CSP professional adviser Ruth ten Hove.

‘Patient self-referral will be included in their any qualified provider (AQP) MSK specification because they wish to retain quality patient care.

‘The contract will be varied to accept both self-referral and GP referrals. The service leads were able to share the quality, innovation, productivity and prevention evidence with commissioners and build on their already well established relationships.’

The CSP has argued that one of the key underpinning principles of the AQP agenda is that no patient should suffer a worse service as a result of its introduction.

However many of the MSK contract specifications seen by the CSP do not allow patient self referral, even when it has been part of the established patient pathway.

‘Given the strength of evidence for patient self referral,’ Ms ten Hove said, ‘this is against the principles of AQP and should be challenged.’

The CSP has held positive discussions with the Department of Health on the subject, and while national guidance can be further strengthened to reflect this evidence, it remains a local decision.

Commenting on the new development, CSP practice and development director Natalie Beswetherick said: ‘This seems a pragmatic solution and one that, if included in the revised MSK implementation pack, could signpost commissioners to enhanced local decision making, in the best interests of MSK populations and the published cost effectiveness evidence.’

Any members with questions about the issue should email Ms ten Hove at tenhover@csp.org.uk

Further information : The CSP’s evidence for patient self referral: www.csp.org.uk/qipp-selfreferral