At 16:31 08/11/1996 -0800, Adrian wrote:
>> To answer your question, an emergency is an emergency.If your opinion is
>> that urgent treatment is required you must refer. It is then up to the
>> HA/Trust whether to treat.I can see no defence to the GP who fails to
>> refer simply because the HA/Trust has asked him not to. Refer and pass
>> responsibility onto the HA/Trust.
>
>Clearly GPs that become involved in administration of secondary care
>(e.g. total fundholders or embryonic Dorrel flowers) will not have such a
>convenient fallback position. Beware!
>
Why? It should be possible contractually for the GPFH/TFH/etc to refer for
an opinion and if the money is running out then like a HA, they can
stipulate that further treatment, if not an emergancy, can be delayed.
Or am I being naive in thinking that GPFH/TFHs will have less power over
what happens to their patients than non-GPFH/TFHs? Or is that they just
aren't brave enough? Allegedly.
--------------------------
Dr David J Plews
email: [log in to unmask]
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