As well as the new contract documentation you might want to look up the
essential shared care guidelines and some of the specific Rxs on the MTRAC
website www.mtrac.co.uk which is a west midlands regional expert primary
care prescribing advice committee. They tend not to deal with the "ordinary"
Rxs but have advised on the more controversial ones eg leflunomide.
I reckon this is one area where if it's not commissioned as a NES eventually
GPs won't do it. Don't you think all this has implications for hospitals eg
they will have to set up repeat prescribing systems at last (there are other
bits of the NC which lead in this direction too eg anticoagulants)
--
Fay
----- Original Message -----
From: "Lesley Kay" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, April 14, 2004 9:30 AM
Subject: Re: how to demoralise your workforce...
actually, my clinical director approved my work plan, it was the assistant
medical directors who overruled her...
Chris is doing just fine in Derby...all the better for shaving his beard off
Perhaps the list could help us...we've been asked to write an editorial
about the future of shared care monitoring for DMARDs under the new contract
(2 consultants, Chris & I, & 1 GP) - any views??
Lesley
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]]On Behalf Of Ian Trimble
Sent: 13 April 2004 19:45
To: [log in to unmask]
Subject: Re: how to demoralise your workforce...
Yes, and the Consultants' Contract is exquisite in that it is so
*personal*. None of this formula rubbish, but all based on
individual job plans, and determined by your (friendly) Clinical
Director.
OTOH it throws some current practice into sharp relief: e.g. a
local consultant who takes ten weeks annual leave, and works
only two clinical sessions per week - yet is classed as full-time!!
I'm seeing your mate Chris Deighton on Friday night: I'll ask how
he's faring now he's moved over to Derby (the Traitor!!). And no,
he isn't the one referred to in Para 2.
Trims.
> -----Original Message-----
> From: GP-UK [mailto:[log in to unmask]] On Behalf Of Lesley Kay
> Sent: 13 April 2004 06:32
> To: [log in to unmask]
> Subject: Re: how to demoralise your workforce...
>
>
> just in case you are bored with the new GP contract...and if
> you are wondering why consultants are more grumpy than usual
> for a while.... to demoralise a workforce 1. tell the public
> consultants are going to get a big payrise 2. make people
> keep work diaries for a number of months so they realise how
> many hours they are working 3. make them ask for the amount
> of money they think they are worth 4. arbitrarily knock 10
> hours off..but, crucially, don't tell them which 10 apart
> from the fact these aren't clinical 5. make sure all the
> other local trusts are paying more 6. that's it
>
> Lesley
>
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