any urgent admissions, which are clearly solicited by the badly behaving
acute trusts, are going to be paid at only 30% of tariff once you exceed
the numbers admitted last year. If anything, it's going to encourage
Trusts to pursue vertical integration because otherwise I don't see how we
in secondary / tertiary care have much of an influence on admission rates.
Nothing to do with OOH care or anything...
Lesley
> Wossat then? SOunds interesting! 30% of tarrif- how so? (Not that I give a
> bolus of something nasty for PBC you understand)
>
> On 22 February 2010 22:21, <[log in to unmask]> wrote:
>
>> as from April it may even be cheaper for your PCT to readmit them
>> "urgently" - as this will now be at 30% of tariff...
>> Lesley
>>
>> > At 22:54 21/02/2010, you wrote:
>> >>I don't mind taking on the patient, but I think its horrendously
>> >>unsafe to do so "blind" with no drug history no medical history and no
>> >>story from the demented patient. Thats the bit I want to refuse.
>> >
>> > I wholeheartedly agree.
>> >
>> > If the patient can't be safely managed out of hospital (even because
>> > of lack of information) perhaps they should be referred back to the
>> > discharging hospital?
>> >
>> > Either way, it would seem like a good idea to get your LMC and PCT on
>> > the case, the LMC to support you, and the PCT to worry about costs if
>> > you send them all back to hospital!
>> >
>> > At the most extreme end if they repeatedly discharge patients without
>> > proper information and discharge planning complain to the relevant
>> > bodies both about the home (for the position they're putting you in)
>> > and the hospital for their poor clinical standards....
>> >
>> > Does this help?
>> >
>> > I don't think you're alone in this problem.
>> >
>> > Julian
>> >
>>
>
>
>
> --
> Dr John Glasspool
> Barge House,
> Timsbury,
> Romsey,
> Hampshire
> SO51 0NG
> UK
>
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