At 16:47 16/11/1996 +0100, Trims wrote:
>
>On Sat 16 Nov, Chris Kear wrote:
>
>> Neurologist writes to GP begging him to continue the prescribing
>> while not explicitly describing the management plan.
>>
>> What should the GP do?
>
>Refuse. This is specialist work.
>
>It would be helpful if we could build a drug budget into contracts
>with the clinical directorates to bring an end to "cost-dumping".
>
>Its about time the specialists were given a realistic budget and
>encouraged to work within it, as GPs have been for several years
>now (GPFH and GPNFH).
>
Agreed. But isn't it about time consultants (in general) started applying
practicing good medicine? IMHO I don't think it is ethical for us to
prescribe potentially toxic and untried drugs with little proven clinical
benefit, especially those that need careful monitoring, just because the
hospital can't afford it, and the consultant has been "hit" by a grug rep.
Oh yes, they get bombarded as much as, if not more than us:-(
Ok, I'm not perhaps without sin, but the latest stuff I've read about things
like lamotrigine and beta-interferon make me very concerned.
--------------------------
Dr David J Plews
email: [log in to unmask]
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