But shouldn't nearly all of Laboratory Medicine expenditure be charged back to requesters?
Does anyone have any good experience of this?
In Oxford we've twice introduced it and twice watched it fade away. It's never run long or consistently enough to affect requesting behaviour.
It amazes me that studying and implementing this isn't part of NHS "Modernisation" initiatives. No-one should be allowed to a meeting on the subject without reading the first few chapter of Samuelson.
Any papers on Clinical Budgetting worth reading since Trevor Gray's analysis from Sheffield?
Jonathan
On 6 Sep 2011, at 09:12, Reynolds Tim wrote:
> I have been arguing for quite some time that internally we should not
> have a budget for hospital requests or phlebotomy and that it should be
> devolved back to requestors. This has not been accepted by those who
> would be budget holders because they would have to take the pain of
> controlling their requesting, as opposed to now when they can ignore all
> of our exhortations to thrift.
>
>
>
>
> Dear ACB mailbase users
> In the current difficult financial climate, can I dare to ask if any
> Biochemistry/combined sciences department has managed to defer part or
> all of their budget to different directorates. If you have done so, can
> I share with you your experience especially if by doing that the
> financial accountability would be deferred to the requestor.
>
> Thank you
> Best Regards,
> Soha
>
> Dr Soha Zouwail
> Consultant Chemical pathology
> Department of Medical Biochemistry and Immunology
> University Hospital of Wales
> Heath Park, Cardiff CF14 4XW
>
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