This may be the Swimming Pool effect?
The surface of the Pool is equally full of busy GPs across the nation,
driven by Demand - but that is not the same as Need.
The Need for healthcare can be represented by the Depth of the pool, which
varies widely. The major factor is age, rather than "deprivation." In high
demand areas the GPs work hard to filter it out; in high need areas they
work hard differently, managing it both directly and by referral. But the
surface of the Pool is not what drives the Govt, but its depth, especially
that part below the surface that is "Unmet" Need.
As the original Allocations are increasingly exposed to scrutiny by the
negotiated MPIG-replacement process, the gap between what the Health Depts
measure as Need, and what GPs actually do in managing Demand and meeting
real Need, is also exposed.
So Mike you're not lazing, just paddling around in the shallows of rural ..
. er ... Nottingham.
--
Colin Brown
Paisley
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Michael Leuty
Sent: 28 April 2009 23:50
To: [log in to unmask]
Subject: Re: Pay rise
2009/4/28 Mike_Prentice <[log in to unmask]>:
> That said the process of moving practices from inequitable to fair funding
> might not feel like it is fair.
No. I hadn't realised what an undemanding practice population I had
until I saw our Global Sum entitlement.
My remuneration may be low but at least I can laze around all day.
Mike
--
Michael Leuty
Nottingham, UK
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