my pct (east yorkshire) has just written to us saying that due to finances 
lack of, they are putting a block on all re-attendances at casualties and 
the pts will be turfed back to us. of course no money will follow for this 
extre work and the pts will have to be seen immediately. wot gets me about 
all these pronounicatrions by ministers, pundits etc what work can be sent 
back to us from the hospital is the view 1. that primary care is an endless 
sponge or that we are currently underworked 2. that although it takes money 
to that work in hospitals, it doenst in General Practice.
capping: either we are small businesses using capitalist principles ie we 
re-invest profit in the business in the expectation we can make further 
profit, in which case if we are capped we wont invest OR we are employed and 
told wot to do. time for the gov to decide.


>From: Declan Fox <[log in to unmask]>
>Reply-To: GP-UK <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: [BGSpam]Re: Any Questions - and capping GP incomes..
>Date: Fri, 19 Jan 2007 23:59:22 +0000
>
>I am just thinking about the amount of time I spend seeing patients and 
>sorting out problems for them, looking at relevant letters and blood work, 
>making calls, writing referrals and letters etc.
>Patients just _love_ all this. It improves their chronic conditions quite 
>often and a bit of time in the consultation is good for acute problems too, 
>often enough.
>I spend virtually no time on QoF stuff, other than what I would normally 
>do. Hint: about 99% of the time I am far too busy dealing with current 
>problems to spend time on preventive stuff.
>
>As I say, patients are happy and stuff gets sorted. The larger agenda I 
>ignore.
>Think what would happen if a lot of GP partners started working that way. 
>HMG would have the equivalent of a chili enema because favoured projects 
>would collapse _while_ GP standing with patients would go through the roof.
>
>Declan
>
>
><<Methinks that if there is any further serious mention of capping GP
>pay then our reps should be mentioning work to rules - i.e. nothing to
>directly affect patients or patient care, but think what we could do
>in the amount of goodwill that we are putting in at the moment.>>

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