Gosh! How odd! This is all just too complicated and too silly for
words. I can see why 90% of GPs now adopt the ostrich approach. I
might start doing so myself!
J
On 23/02/2010, [log in to unmask] <[log in to unmask]> wrote:
> 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
>>
>
--
Dr John Glasspool
Barge House,
Timsbury,
Romsey,
Hampshire
SO51 0NG
UK
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