In article <[log in to unmask]>, Ewan Davis
<[log in to unmask]> writes
>In article <[log in to unmask]>, Paul Caldwell
><[log in to unmask]> writes
>>Will someone please tell me what this means in practice? I haven't a clue.
>>Both thoughtful and sarcastic comments welcome.
>
>It means creating structures in Primary Care that can take more of the
>total load of the NHS a lower cost. For example It means allowing the
>overwhelming logic of Tomlinson to overcome the political power of the
>London teaching Hospitals.
>
>At the moment it has little substance, but it will and it won't look
>much like the Primary Care you work in today. Read Choice and
>Opportunity to see the shadows of Christmas yet to come.
>
>Ewan Davis
>[log in to unmask] - Bromsgrove, UK
>
>Managing Director AAH Meditel Ltd - Supplier of EMR Systems.
>[log in to unmask] Voice +44 (0)1527 579414 Fax +44 (0)1527
>837287
If we take into primary care work previously done in secondary care, the
funds (some of it at least ) should come with the work. OK so far, but
the local hospital needs x million pounds to run, stay open, maintain
cas & acute care. The HA is cash strapped so cannot give extra money.
The solution, is the trusts put up their Fundholder prices to ensure
that they maintain income at x. Why do you think we have to put our
purchasing plans in before the trust prices for the next year are worked
out. It is so that x is maintained.
Result net gain to practices is zero.
The short answer is that primary care led nhs is getting primary care to
do more work at cost neutral ( cost neg if the HA's can) & take all the
responsibility & blame when things are not right. If it is a success, I
doubt we will get the credit.
A bit like cinderella doing all the work but the ugly sisters get to go
to the ball.
Oh where oh where is our prince charming?
Major/blair/ashdown, don't be silly.
--
Steve Brown
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