Autonomy, accountability and democratic legitimacy
These are the similarities and differences for Autonomy, accountability and democratic legitimacy, as discussed at the Leading Clinical Commissioning event held by NHS Birmingham East and North on 20 and 21 July 2010.
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Similarities
- Postcode lotteries
- Skills transfer problems
- Better relationships with patients
- Managing the transition – problems
- Improved democratic legitimacy through HWBP
- Local knowledge – strength
- Losing children, safeguarding prevention
- Change fatigue – the energy & expertise
- Lack of money in system
- Improving outcomes
Differences
- Not many mentions of patients
- GP consortia not yet understanding statutory duties/accountabilities
- Social enterprise – an opportunity or threat?
See also: LCC similarities and differences write-up (Word doc)
