From: "Paul Caldwell" <[log in to unmask]>
Sent: Wednesday, January 07, 2004 11:24 AM
> 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.
Good grief, and you believed them? The NC says what you are obliged to do in
and OOH and what you suggest would have to be part of the enhanced service
commissioned by the PCT. A contract with a high risk being borne by the
provider will be MUCH more expensive. If they want it and commission it,
they can have it if they can find someone to do it for the money. If they
don't commission it they won't get it.
Fay
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