In a message dated 06/03/98 20:50:38 GMT, you write:
<<
My concern is the other way round. I am a low spender. Take for
example, prescribing: for the past 5 years I have under-spent my
indicative budget by 20-30%, achieving something like 65-70% generic
prescribing proportion.
Most of the Practises around me consistently overshoot their drug budget
by the same margin I under-spend! >>
I would be concerned that you are treating chronic disease adequately:-). Why
do all the other practices around you overspend? Can they really all be
wasteful prescribers?
We have had pharmaceutical advisors galore at our own practice. One surgery is
in a very affluent area with highly demanding, exceedingly articulate patients
and a high proportion of private referrals...60% of the total. Try telling
Mrs Hoity Toity that she must have mist. mag. trisil instead of the Losec
"her" BUPA specialist prescribed :-)
And whilst we're on the subject of Generic prescribing, our most costly drugs
don't have a generic equivalent....Losec to quote but one. Might some of your
70% generically written prescriptions be of this ilk?
I bet you're one of those insufferable types who writes naftidrofuryl oxalate
instead of Praxilene and Betamethasone diproprionate cream 0.1% for Betnovate
just because it sounds impressive:-)))
Whilst there are GP's like yourself for the Health Authority to quote as being
good and careful prescribers, there isn't a hope for the rest of us to get a
fair drug budget:-(
Jeremy (expecting lots of RCGP flak for this) Sager
GP Shadwell Medical Centre
Leeds
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