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
>
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