in cash strapped times of austerity we are starting of a discussion with our GPs on path / biochem / imaging / other tests that are commonly ordered from General Practice that are poorly evidenced / rarely add to clinical picture or change a clinicial decision
Just a disucssion thus far, and obviously does need contextualising properly. And obviously this is part of a much broader debate about areas on which we can "spend less on health care whilst loosing little health outcomes"
Some of the obvious ones that we have started with
Vit d deficiency test
Spinal xr- low back pain
Knee mr - many
Spinal mr - low back pain
pregnancy tests (£8 from lab rather than the £1 for doing them in house).
only doing creatinine instead or U and Es and creatinine
Apparently nail scrappings for fungus cost nearly £100 so I was told
any Xray for soft tissue injury
FSH in perimenopause
asking for PV/CRP and ESR at same time
MSU MC+S in uncomplicated lower UTI (in women ) (except if 3+/year- then MC+S)
what would you add to the list
Greg Fell
07957 144899
.
__,_._,___
--------------------------------------------------------------------
This e-mail is intended for the use of the addressee only and may contain confidential information, copyright material or views/opinions that do not necessarily reflect those of Bradford and Airedale teaching Primary Care Trust. If you receive this email by mistake please advise the sender immediately. All should be aware that this email may be subject to public disclosure under the Freedom of Information Act 2000 and that emails may be monitored.....
|