>> My dream too - a vertebrate GPC and ICRS back to the drawing board,
>> before we waste billions - and trash our professional reputations to
>> boot.
Paul M wrote:
> I know I am ever the pessimist but I seriously doubt this will ever
> happen. Any more so than Fay's think big / The Firm style of general
> practice (large primary care delivery organisations will surely be
> managed, not owned).
True, we cannot escape managed care, but this doesn't mean an inevitable
acceptance that our professional standards will be eroded as a result. If
government or managers ask us to deliver health care in ways which are not
in the best interest of our patient's health we must decline to do so and we
should reasonably expect the full support of our professional body.
> Unity is beyond us and it seems to me that most GPs simply don't care
> - though not in a bad way. The business case is to pay the mortgage,
> school fees and car and if that means doing what they tell us -
> particularly in an area as essentially complex and misunderstood as
> ICT in primary care - then that is what the majority will do. Quality
> be damned, count the years till the pension.
Unity is the crux of the matter. Through unity we can exert influence, but
only under sound leadership. We gave the appearance of being united in
voting yes to the new contract - because many believed the GPC's
reassurances that it would be alright in the end. It is not alright and I
think there is an increasing consensus on this, which will become more
focused as the manifestations of their gross miscalculations unfold over the
next few years. There must surely be a showdown during this time. We will
not all be content to count the years.
Laurie
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