The West Midlands SHA's Carter plan will force this issue locally. The
SHA have decreed that there will be only 4 lab groups in the Midlands,
which will be free-standing and not part of any Trust. So, they will
therefore have to charge their customers for what they analyse. That
might finally force clinical budgetting because there will be no
argument that it is too much like hard work to extract the in-hospital
budget streams [because pathology will no longer be a hospital
function]...
************************************************************************
**************
Prof. Tim Reynolds
Consultant Chemical Pathologist
Burton Hospitals NHS Foundation Trust
work tel: 01283 511511 ext 4035
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-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Jonathan Kay
Sent: 06 September 2011 09:23
To: [log in to unmask]
Subject: Clinical Budgetting
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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