In message
<[log in to unmask]>, Geoff
Schrecker <[log in to unmask]> writes
>Not sure about the requirement to agree a register, but the rest hold
>for us as well.
>
>I share your concerns about confidentiality, whatbusiness is it of the
>PCT who is on the register. Agree with the LA LD team makes sense, but
>the PCT have no role in the care of these individuals and so no need to
>know who is on it.
Update.
I seem to have spent a lot of time today talking to various PCT people
(started because QMAS not updated, practice manager sick and needed to
know - apparently same for all Bedfordshire practices!)
1. the rules for the 2008/09 DESs have finally been published - and are
clearly dated "March 2009".
(My personal opinion is that if the DH can only produce the rules for
schemes starting on 1.4.08 and published in 7.08, they need to sack the
staff who failed to deliver - or look at the management structures which
allowed this apparent incompetence.)
sorry, have the document but not the URL.
2. the rules for the Learning Disability DES state clearly that the
**PCT** should liaise with the Local Authority *and* provide the
training.
3. The Practice - not the PCT - should have a register.
The aspiration payment is £50 x number of patients on the Register, with
claw back if the total amount for medicals done is less than the
Aspiration payments. (Not a problem for me).
4. not clear about age cut-offs. The LA is a LA with an Adult Learning
Disability register: and also not clear what happens if patients cross
the lower age limit during the year.
Best of all, the deadline of 17th April will be abolished - and
Bedfordshire PCT (or NHS Bedfordshire) has no intention and never had of
failing to pay for work done prior to the release of the details of the
DESs!
Pity we didn't have the information in time - too late to call back 300
new registrations to assess them for alcohol risk! ;-<
Good luck, all
MaryH
--
Mary Hawking
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