We have had a staff budget for the last 4 years. Seems to work, but
originally the FHSA wanted to retain all the controls of the original
system. Gradually we have obtained a "real" budget for staff giving the
practice flexibility in adjusting pay scales, hours, skill mix, and a
little contingency for holiday cover and illness. We are in control, and
not subject to the old style form filling, just a monthly return to track
actual spending against the budget. After the control was passed to the
practices, it seems to work well for both us and the HA.
BUT - the success of this all depends on an adequate budget at the outset,
and a common sense approach from the HA to negotiations about staff
developments etc.
Bill Beeby
GP - Middlesbrough UK
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-----Original Message-----
From: Iain L M Hotchkies [SMTP:[log in to unmask]]
Sent: Friday, February 20, 1998 12:43 PM
To: [log in to unmask]
Subject: practice staff budgets
We received a letter from the HA recently, asking if we wanted
to join some kind of practice staff budget scheme.
For some reason, the letter has been put on my desk. I am
tempted to let it slip into the bin.
Why do these letters always sound like timeshare adverts?
According to the letter, we get a lump sum (in 12 parts)
and no bureacracy.
Where's the catch? (I know there has to be one)
--
Dr Iain L M Hotchkies / http://www.hotch.demon.co.uk (unpublished
novels and lots of other fun stuff, but very little hard-core porn)
"My experience has been from working in the UK that GPs will screw each
other but will be fairly supine when fighting with the Government or
charging the patients proper fees when they are due."
(Dr Sachit Shah, as posted on GP-UK 12th February 1998)
"Depend upon it that if a man talks of his misfortunes, there
is something in them that is not disagreeable to him." (Samuel Johnson)
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