Ah, that is clearer - we will have to provide services at the times
indicated by our PES survey eg if the greatest dissatisfaction rating
was with Saturday mornings that is when you will have to do it,
similarly for early morning or evenings and Sundays.
Fay

Roger Gardiner wrote:
> yes - so I guess we will be voting on a framework rather than the
> detail e.g. what choice we will have for evening as opposed to weekend
> opening won't be known
>
> Roger
>
> -----Original Message-----
> From: Fay Wilson <[log in to unmask]>
> To: [log in to unmask]
> Sent: Sat, 9 Feb 2008 9:19 am
> Subject: Re: What's going on?-me depressed thats what.
>
> Sorry Roger it may be fatigue but I'm not sure I understand the question.
> There is quite a lot of detail about the DES available from the
> Britnell letter and Alan Johnson's letter to MPs. If there are any
> changes to the details I'd expect them to be published before the poll.
>
> Some PCTs are in the process of developing LESs already but that is a
> local activity not national so whether you have those details locally
> before the vote depends on where you are.
>
> Is this what you meant?
> Fay
>
> Roger Gardiner wrote:
> > Fay
> >
> > Are full details of pricing, proportion of OOH to be face-to-face as
> > opposed to admin, monitoring, approval needed etc. for each option >
> available or are we going to be voting on 'work in progress'?
> >
> > Roger
> >
> >
> > -----Original Message-----
> > From: Fay Wilson <[log in to unmask] <mailto:[log in to unmask]>>
> > To: [log in to unmask] <mailto:[log in to unmask]>
> > Sent: Sat, 9 Feb 2008 1:14
> > Subject: Re: What's going on?-me depressed thats what.
> >
> > To put you out of your misery > > If Option A is accepted it will be
> a DES. > This means it is optional and your practice doesn't have to
> do it. > > The PCT then has two choices: > It may (if >50% of GPs opt
> out) set up a parallel LES with better > terms - because the target is
> compulsory for PCTs > or > As it is a DES it will be entitled to
> commission the service from > another provider. Step in (Insert name
> of APMS provider here) > > If Option B is accepted (or rather imposed
> if we don't accept A ) as > far as I can see from the Britnell letter
> the PCT has to make > arrangements with its local practices (ie a LES)
> and there is no > provision for going elsewhere, so it will have to be
> more flexible and > attractive than the DES. > > Fay > DOI: Medical
> Director of an APMS OOH provider. Still voting B > > > > Paul Caldwell
> wrote: > > thoroughly depressed now. i have to say, i just cannot face
> w! orking > > extended hours on top of normal duties. i simply do not
> have the > > mental energy left to do it, and i think this is too much
> for my > > health. Unless there is some flexibility in the extended
> hours > > (lunchtime start, no extres, no visits) then my draft
> resignation (see > > posting passim) is going in. I'll be financially
> worse off but at > > least less chance of recurrence of recent
> depressive illness which was > > part work-stress related, and i'll
> see my family. Helen is decidely > > dew-eyed at the moment but thinks
> it would be best "we cannot have u > > depressed again, it was hell
> that time". Except i dont think there > > will be any flexibility
> allowed, afterall this is /really /about > > seeing more pts faster
> and nothing to do with quality health care. > > even some shift work
> will cause havoc in our surgery. this am, if the > > late surgery
> doctor came in at lunchtime, wi! th annual leave and > > sickness
> (more of that will occur in fut ure too), it would have left > > x2
> doctors this am for 15K pts-unacceptable and unsafe, which is > >
> partly why the DOH wont allow flexibility. > > > > > Date: Fri, 8 Feb
> 2008 18:06:01 +0000 > > > From: [log in to unmask] <mailto:[log in to unmask]>
> <mailto:[log in to unmask] <mailto:[log in to unmask]>> > > > Subject: Re:
> What's going on? > > > To: [log in to unmask]
> <mailto:[log in to unmask]> <mailto:[log in to unmask]
> <mailto:[log in to unmask]>> > > > > > > On 08/02/2008, Geoff
> Schrecker <[log in to unmask]
> <mailto:[log in to unmask]> > <mailto:[log in to unmask]
> <mailto:[log in to unmask]>>> wrote: > > > > When at last the
> profession was largely united behind taking a > stand. > > > > :-( > >
> > > > > I'm a bit puzzled. I thought they! weren't allowed to advise
> GPs what > > > to do about the dispute? > > > > > > Or are they
> allowed to tell us to obey the Government but not allowed > > > to
> tell us to resist? > > > > > > Odd, as you say. > > > > > > -- > > >
> Michael Leuty > > > Nottingham, UK > > > > >
> ------------------------------------------------------------------------
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> Star! > > <http://www.msnsearchstar.com
> <http://www.msnsearchstar.com/>> > > >
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