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Simon Bradley wrote:
> This is going to be a disaster for Government as well as for patients and
> the NHS.
>
Perhaps.
I think it demands a more complicated response than it is yet getting.
C&B has been declared a failure, has it not?
This is not something we are surprised by, or averse to AFAICT, and,
alas, with abandoning it, it requires a more detailed and complex
argument than I have yet seen to demonstrate the undeniable truth that
we should continue to be paid whatever it is that we are allegedly
paid to tempt us into using it.
Likewise the damn stupid access scheme, with its collateral damage.
We did not I think wish to keep that, so reluctantly I fear we have to
accept that when we stop doing it, because the NHS has belatedly come
to its senses and stopped asking to buy it, there are people who will
not understand why the payments notionally for it are not also
discontinued.
There _is_ a clear illogicality and unfairness in the govt
proposal/intention, which is that providing care in various surviving
QOF areas to the high standards we do has not now become either
easier/cheaper or less valuable. Therefore an increase in the levels
to the average attainment is illogical, unfair, and I suspect
counter-productive in simple and complex ways in some QOF areas.
I repeat the rule I wish was generally accepted: do not be persuaded
to do stupid things for small amounts of money.
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