Putting my best shiny suit on and with a platinum white smile, its 11.50 here at Heartlands, using an LC/MSMS method. I don't believe our referred work "customers" should be treated as a cash cow
Cheers
Craig
Craig Webster
Consultant Clinical Scientist
Birmingham Heartlands Hospital
Birmingham
B95SS
On 2 Dec 2011, at 09:31, Colley, Michael wrote:
Richard
Where do you get it done for £6 or are you doing it in house?
We’re sending ours away at £23 a time.
Michael
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Mainwaring-Burton Richard (SOUTH LONDON HEALTHCARE NHS TRUST)
Sent: 01 December 2011 15:05
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: Harmonising vitamin D reporting units
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While you are looking at money, check whether your trust is charging national tarrif for vitamin D in the light of rising QoF/NICE related requests.
We have discovered a tarrif of approx £1.50 buying a Vit D costing about £6.
with best wishes
Richard
Richard Mainwaring-Burton
Consultant Biochemist
South London Healthcare Trust
Queen Mary's Hospital, Sidcup
Queen Elizabeth Hospital, Woolwich
Princess Royal Hospital, Farnborough
020-8836-5724
020-8308-3084
mob: 07831-739876
________________________________
From: Clinical biochemistry discussion list [[log in to unmask]<mailto:[log in to unmask]>] On Behalf Of Philip Hyde [[log in to unmask]<mailto:[log in to unmask]>]
Sent: 01 December 2011 14:37
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: Harmonising vitamin D reporting units
The System One debate has been going on for some years - it also alters PTH units and one or two others. I'm not sure where the fauly lies, but I think Rick Jones knows what the latest is,
Are you QATY-good value John ?
Phil
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of O'Connor John (Royal Devon and Exeter Foundation Trust)
Sent: 01 December 2011 14:33
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: Harmonising vitamin D reporting units
This is a debate currently ongoing on the ACB IT list.
You should be aware that there is a GP surgery system called “System One” that is religiously converting your precious Vit D in nmol/L into mass units. Then showing any elegant reporting comments where you may have annotated rages for interpretation in nmol/L, underneath that mass result.
Why are they doing this and why are they refusing to change, you may well ask.
Their response (paraphrased) is as follows: “This problems have been in part caused by some of the new v20 QOF codes. The bounded lists which are within SystmOne are set by the Department of Health so we have been in touch to see if there is anything we can do to change these “
So the units the GP’s would like you to use are the ones they can redeem QOF repayments for. It all comes down to money in the end.
In the same sense I am sure that QALY (Quality adjusted life years) will ultimately become a QATY (Quality adjusted tax years) This is an estimate of how long you can stay healthy enough to continue working and paying tax.
BW John
________________________________
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Reeves Christopher (RW3) CMFT Manchester
Sent: 01 December 2011 14:12
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: Harmonising vitamin D reporting units
This has already been done by Pathology Harmony, and more importantly signed off by leading members of the ACB, RCPath and IBMS - recommended nmol/L. See ‘Latest News’ on ACB home page (although dated Jan2011)
End of discussion?? Or just the beginning…
Chris
________________________________
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Jonathan Kay
Sent: 01 December 2011 13:31
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Harmonising vitamin D reporting units
Deafening silence... does it mean agreement, you don't want the argument or you're on strike?
Jonathan
On 28 Nov 2011, at 16:50, Jonathan Kay wrote:
Same principles as other analytes:
1 Consistency is a good thing
2 Units of measure should be ISO. In this case the authority is passed to IFCC/IUPAC. See 1966 decision. The appropriate unit is mol/ litre.
3 Arguments that depend on current or historical practice are trumped by (2). If (3) isn't trumped by (2) how can we ever make progress?
4 Ad hoc groups, special interest groups and professional societies should be involved in improving consistency but shouldn't oppose (2). They have a crucial role in managing transitions.
5 Preference (like plumage) don't enter into it.
Jonathan
On 28 Nov 2011, at 12:38, Mohammad Al-Jubouri wrote:
Dear All,
What people think about this and what is the preferred unit of reporting?
thanks
Mohammad
Dr. M A Al-Jubouri, MB ChB, MSc, FRCP Edin, FRCPath
Consultant Chemical Pathologist
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