May 2019 Issue 111
www.independent-practitioner-today.co.uk
INDEPENDENT PRACTITIONER TODAY
The business journal for doctors in private practice
In this issue
Helping access to self-pay
Self-pay is on the rise, but the confusion around doctors’ prices needs to be cleared up P21
What are you doing to attract patients?
Some advice on choosing the right marketing strategy to grow your practice P26
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Giving voice to the private sector
The new president of the Independent Doctors Feder ation reveals his hopes for the organisation n See page 18
Boosting my cash flow
A consultant describes how outsourcing ensured his growing practice remained in good financial health P36
Tougher controls loom
By Robin Stride A Royal College of Surgeons of England (RCS) bid to improve private practice safety following the Paterson case has sparked patients’ calls for the launch of a whistleblowing system. College proposals mean independent consultants face tougher clinical governance to cover monitoring of practising privileges and scope of their practice. Better sharing of consultant performance information between the NHS and private sectors is also being urged. But the Private Patients Forum (PPF) claimed a new early warning system for patients and doctors was urgently needed, with the latter possibly using confidential whistle-blowing to share concerns with all providers. It said: ‘This would mean a more effective and urgent use of quality, safety and complaints information than is currently the case and would require a whole-system approach.’ College president Prof Derek Alderson said the entire healthcare sector needed to do more to prevent rogue doctors from ever causing harm again. ‘This starts with being able to collect and analyse good-quality patient safety and outcomes data. There must be stronger oversight and protection for patients, regardIn association with
There must be stronger oversight and protection for patients, regardless of whether they have their operation in an NHS hospital or in the independent sector
PROF DEREK ALDERSON, PRESIDENT OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND
less of whether they have their operation in an NHS hospital or in the independent sector.’ The independent sector must report data around unexpected deaths, never events and serious injuries to the Care Quality Com mission. The RCS wants this published in future. It said the private sector did not yet have a data set equivalent to Hospital Episode Statistics – which publishes how many and what procedures have happened in the NHS – although talks between the Private Healthcare Information Network (PHIN) and NHS Digital
aim for independent sector data to be included. The RCS added that the independent sector had not been enabled to contribute to most national clinical audits that collect data on care outcomes. It has been working with the Healthc are Quality Improvement Partn ership (HQIP) and the Ind ependent Healt hcare Provider Network (IHPN) to review which existing national clinical audits the independent sector can contribute Xxxxx to and what barriers need overcoming. IHPN boss David Hare said: ‘We
have successfully lobbied to ensure that independent sector providers are permitted to submit more data to key national safety systems and participate in more clinical audits and, as the RCS report makes clear, there is real momentum behind this work. ‘However, further work is needed to allow the sector to participate in the full range of NHS datasets and clinical audits and it is now vital that all those involved in better aligning NHS and independent sector data maintain the momentum.’ ➱ continued on page 4