Adrian Midgley wrote:
> Gov.uk has recently represented the QOF as a failure due to it
> providing GPs with increased income - beyond their expectations says
> gov.uk <http://gov.uk> - but not increased output.
>
> But this ignores the underlying reasons for it, which as with most
> political government machinations were not largely as represented
> then, nor as rerepresented now.
>
> Taking it as it appears will, regardless of discussion about whether
> it failed or succeeded or succeeded but is to be made to fail or to
> appear to have failed, be unlikley to produce a result suitable for
> the Antipodean environment and circumstances.
>
> The question I'd ask is what are the Antipiodean aims?
>
>
> Then design systems to attain and oppose them, depending what your
> constituency and the sense of them are.
>
> Management is being discredited, in the UK at least, not before time,
> and swinging the pendulum that way down under might turn out to be a
> big mistake.
>
> --
> A
Strewth, Ade, your syntax is more convoluted than a blackfella's
Dreaming painting.
_Antipodean_ [gosh, it isn't often one gets a chance to correct the
spelling of the Midge] aims unfortunately seem largely to replicate the
best failures of the the UK. The overbearing influence of management,
the introduction of documentation to support every trifling act, the
wastage of vast sums of money on IT projects that turn out to be white
elephants.
Capitation is one thing being resisted most strongly, yet coming from
England I feel that was one of the strengths of UK [urban/suburban]
practice. Of course, in many Aussie towns there is an effective practice
list as there is only one practice.
--
Cheerio,
Graham
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