BSG Response to 'Equity and Excellence: Liberating the NHS' - The White Paper

The British Society of Gastroenterology (BSG) welcomes the emphasis in the White Paper given to clinical outcomes, the ambition to improve the quality of services, the emphasis placed on clinically-led commissioning, and recognition of the need for clinical leadership. We have some specific anxieties regarding (i) the relative lack of focus on outcomes relevant to gastrointestinal and liver diseases, several of which are major causes of suffering, loss of earnings and mortality in relatively young people, (ii) the practicalities of ensuring appropriate involvement of relevant specialists in commissioning across a large number of GP consortia, (iii) the lack of any reference to the importance of secondary care prevention (for example alcoholism where patients make contact with secondary care often via A and E, (iv) the potential for GP commissioning to act as a permanent reinforcement of the gatekeeper role of general practice, sometimes resulting in delay and poorer outcomes eg in cancer.

The BSG has joined with the British Liver Trust and BASL to submit a special response on liver disease.

Both consultation responses can be read below: