I've not heard much talk about temporary residents in the new contract, but
as I understand it there are big changes. Am I misunderstanding them?
I understand that we shall no longer receive a fee per patient, but that the
global sum is intended to cover the average rate of TR workload over the
last few years.
This is less bureaucratic, but is based on a huge assumption that TR
workload will not change much.
Given the loss of a fee per TR:
* will practices be less willing to accept TR's?
* what about if a practice has an open list and all around them have closed
lists - will the practices with closed lists be able to refuse TR's whilst
the one with an open list has to accept all the TR's in the neighbourhood
but without any mechanism for transferring the funding from the practices
with the budget allocated to them for historic workloads?
* what about if there is a significant shift in TR workload, either
permanent (e.g. an area increases its business in tourism or similar), or
temporary (a major public event comes to your town, e.g. the Glastonbury or
Leeds festivals get relocated to Yeovil or Halifax).
--
Simon Child
www.GPUK.net
www.woodbanksurgery.nhs.uk
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