The NC does put a premium on enhancing access by certain groups of Pts to
GMS, eg OOH routine surgeries for working pts who need longitudinal care
(DM, COPD etc.). There are serious financial inducements for this. Sounds a
good idea except a PCT I know has intimated that if one contracted for such
a service the practice would be bound also to see anyone turning up on the
door saying their need was urgent, ie do a sat am surgery seeing working DM
pts who can only get to see u at weekends for care plus everyone else.
Result: no one in their right mind is going to contract for such a service
and a genuine need is lost. If this attitude is correct, does not this
almost invalidate setting up enhanced services for special groups under the
NC? Seems our managers have a 'heads u loose tails we win' attitude.
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