Mary Hawking added to the argument about Secondary Primary
shift and I agree with nearly everything she says, except I
would like put a differernt slant on one bit .........
large snip
MA>3.not the first demand that GPs should accept legal and financial
MA>responsibility for undertaking procedures which are included in the
MA>costing of the contracts NHS Trusts have with the Health Authority
One of the problems of the current debate is that we GPs only
see things from one side.
The hospital too has a problem with increasing workload and
contracts do not take new techniques into account - and they
have a reduction in real resources each year in the
"efficiency savings".
Think of some of the extra things they have to do these days:
Investigation of microscopic h'turia
Thrombolysis for MI (in early 80s it "good" to keep MIs
at home)
Gastroscopies
Screening colonoscopy for FH of Ca Bowel
Sleep disorders
Colposcopy
Down's syndrome screening in pregnancy
Beta interferon
Cataracts are a vastly earlier stage
Knee replacement will soon be as common as hips
and that is only one item in each of some of the
specialities.
Remember too that they can't get junior staff who work less
hours and are subject to compulsory audit.
It all goes back to the fundamental problem, the NHS is
grossly underfunded.
______________________________________________________________
Dr. David Jobson
The Surgery, Main St Surgery Tel +44 (0)1728 830526
Leiston Surgery Fax 832029
Suffolk Home Tel 831100
IP16 4JG email [log in to unmask]
* SLMR 2.1a *
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