Who will provide the additional service(s) that my practice opts out of?
A The PCO will be given new statutory powers to provide services and will be responsible for the commissioning of additional services, once an opt-out has taken place, either temporarily or permanently. A PCO could provide the service directly, or commission another practice to do so. PCOs as providers Q How can I be sure that there will be a level playing field between practices and PCOs when bidding to provide additional or out-of-hours services? Won’t my PCO simply use “insider” knowledge and undercut my practice? A Where PCOs are involved in service provision, they will be subject to audit and routine standing orders/financial instructions and the constraints regarding the letting of contracts. This will ensure a level playing field and Strategic Health Authorities (StHAs) (or their equivalents) will have an important role in managing this and will ensure that the extent of PCO provision of services does not exceed an appropriate volume. Anti-competitive or fraudulent behaviour by
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- Who will provide the additional service(s) that my practice opts out of?
