The problem with GP contracts being experienced in Reading is that the lab
is not paid for all the work that is done (I think because of the
incompetence of the Finance Department staff!)
A contract is drawn up based upon the previous year's usage of the
laboratory, but no extra is paid during that financial year despite the fact
that GPs continue to use the service significantly more year on year - at
least partly in order that they can meet the (financed) objectives set by
the Department of Health. So they get paid more for increasing their
screening programmes but the lab. does not. At one time we did have an
item-of-service contract with them but this proved to much to cope with, for
the Finance Department.
This of course results in an inbuilt financial deficit year on year (for
which the laboratory is blamed!!).
David L Williams
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]]On Behalf Of Mainwaring-Burton
Richard (RGZ)
Sent: 03 July 2003 12:15
To: [log in to unmask]
Subject: GP contracts
Has anyone acknowledged the laboratory consequences of the financial
incentive to GPs to screen their patients according to guidelines ? I
understand that some remuneration will be dependent on keeping track of
monitoring of HbA1c, lithium, microalb, etc etc .........
Wish we could do the same, but what will be the impact on our budgets ?
with best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
Queen Mary's Hospital
Sidcup, Kent
DA14 6LT
020-8308-3084
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------ACB discussion List Information--------
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community working in clinical biochemistry.
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