Jeremy writes to Ahmad's comments
> 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?
I concur with Ahmad, am currently heading for £40k underspend on budget of
£176k and generics 67%. This is not to profess any breast baring machismo
more to emphasise that I would do well if I had a practice budget where *I*
was responsible for my money and not cross subsidise anyone else. Still I am
emphatically against putting GMS in the pot with the rest. In time you
really will be paying for your patients and if there are delays or NHS
restrictions who'll get the blame for lining their pockets?
As for chronic disease I would be surprised. From PACT data my average cost
is higher but I prescribe less. Maybe targetting is better? What say you
Ahmad?
>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?
Of course why not?
>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:-)))
Yup thats what computers are for, press that little ol' G key and woops out
comes BD cream. Do you really prescribe Praxilene? ;-))
>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
et:-(
So now the sh*t is being laid at the doorstep at those who have low costs at least in prescribing? Might it be that those who prescribe less refer more? When marked against four colleagues in a FH group I certainly was in the upper 50%. Might it even out?
>Jeremy (expecting lots of RCGP flak for this) Sager
Sorry Jeremy never have been RCGP and never will. Just have a curious nature and always keen on a new challenge except this PCG crap.
Paul Attwood
GP Thanet
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