In a message dated 08/03/98 09:28:21 GMT, Ahmad writes:
<< Why would you increase someone's budget just because they over-spend
when there are consistently on-target or under-spenders around?
Doesn't make sense, does it? :-) >>
It does when the health authority have failed to take proper account of the
sort of patients we have almost exclusively................incredibly
affluent, know their rights, complain at the drop of a hat, very demanding,
the sort that don't expect or tolerate changes in prescribing without a fuss
and unpleasant confrontation.
I know this sounds peculiar but you really can't compare our practice
population with others down the road, our patients are a completely different
kettle of fish.
Because of the very high incidence of private referral (up to 60% of the
total), a lot of prescribing is consultant driven and the latter will often
choose the modern more expensive drugs which we have to convert to an FP10.
This is a real problem in our practice. :-( If we attempt to change to a
cheaper prep. which is just as effective we risk threats of complaints and
rows.
Consultants in NHS clinics usually confine their prescribing to
recommendations of category of drugs allowing us to make the economical choice
:-)
I'll get back to you re. your pharmaceutical consultancy advisory service:-)))
A local pharmaceutical advisor has offered to oversee some changes and field
some of the flak so we'll wait and see how she does.
Dr Jeremy Sager
GP Shadwell Medical Centre
Leeds
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