NZ-UK Link Lecture: The current English NHS reforms: what can be learned from NZ?
This lecture will discuss the case of New Zealand’s ‘Independent Practitioner Associations’ (IPAs), GP-led groups in place since the early-1990s. They provide management services and negotiate funding contracts on behalf of GPs and have been involved in numerous innovations aimed at improving primary care services, though they were never mandated by government policy. The lecture will look at the lessons from IPAs for CCGs (Clinical Commissioning Groups), with a particular focus on the role of self-determination (the NZ case) vis-à-vis regulation (the English NHS case). The lecture will also discuss New Zealand’s new ‘alliance’ governance arrangements which bring together clinical leaders from across the local health system to work collaboratively on patient-centred care system design.