ࡱ> ;=:y bjbjEE *''KKKKK____ k_;!tZZZ  $"Q% KZZZZZ KK ZvKK Z | ޕ_"b   !0;!t  & &$ &K ZZZZZZZ ZZZ;!ZZZZ &ZZZZZZZZZ :  Commentary on Proposals for changes in GPC constituencies and boundaries The attached letter from the Chairman of the Representation subcommittee of the GPC proposes a move to multimember GPC constituencies based on an electorate of 2400 or so GPs. You will see that we have been asked to respond by 22nd January. For the South West the proposal would seem to be logical. The 4 LMCs in the two strategic health authorities (Cornwall, Devon, Dorset, & Somerset) constitute something like 2000 GPs, and apart from the South Dorset conurbation have a broad commonality of interest. Academically much of our attention will be on the Peninsula medical school, although parts of Somerset traditionally link with Bristol, and South Dorset with Southampton. Tertiary referral patterns are similar. Until the latest reorganisation Somerset LMC was part of a regional grouping with Cornwall, Devon, Avon, and Gloucestershire, and we have maintained a good working relationship with our neighbours to the West. Our current GPC member represents Somerset and North East Devon. Dorset LMC is part of the Wessex LMCs group but it would be sensible for the constituency to be co-terminous with StHA boundaries. Indeed, a network of LMCs covering the whole of Southern England from Hampshire to Cornwall would be a powerful force in what will undoubtedly be troubled times. The advantages of the scheme include: Potentially better representation of non GMS principal GPs Less reliance on single individuals to communicate local views to GPC Opportunity to develop a portfolio of skills More credibility of LMC/GPC axis with StHAs and Ministers Encouragement to improve communication between LMCs Possible Disadvantages: Representation is more remote Smaller LMCs may be disenfranchised Risk of cost inflation and bureaucratisation Recommendation The LMC should support further development work on multi-member GPC constituencies. If the principle is agreed a Cornwall, Devon, Dorset & Somerset constituency would appear to be logical. Harry Yoxall. January 2003. 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