You are unlikely to win unless you get the support of your MP (assuming
he/she is Labour). The government has the arm on the HAs and is committed to
PCGs at around the 100,000 patient level. The reason for this is that they
don't want healthcare fragmented the way it was under fundholding.
This is likely to be a pretty high political priority, so I will be
interested to see how you get on. Want a used flak-jacket?
Andrew
Dr. Andrew N. Herd MRCGP [log in to unmask]
Family Physician, Medical Adviser to Durham Health Authority
Lecturer in Primary Care, Durham University
Medical Editor, Practice Computing
-----Original Message-----
From: Ahmad Risk <[log in to unmask]>
To: gp-uk <[log in to unmask]>
Date: 17 March 1998 21:25
Subject: Of Luddites and Martyrs
Snip...
We have a meeting end of the month. The motion before the group is to
form a Level 1 PCG.
Everybody knows (including the HA) that the motion will be defeated.
The 5 big spenders want a Level 2 PCG, *and* at the same time, they
have been courting a near by group of Practices to get into bed with,
deliberately *excluding* the other 4+1
The word on the street is that when the motion is defeated, the
Chairman will then hold talks with those Practices who have voted *for*
it to *re-consider* their position!! No other motion is put forward.
That is it.
The 4 who never took an interest + me are not big enough to form a
group. Even if we were, how come all of a sudden we are going to work
together when this has never happened during all those years?
The HA maintains an astonishing attitude. On the one hand, they say:
"we can't interfere with what's happening, it's up to you doctors";
and on the other, if the motion is defeated, they also say: "we will
have no option but to allocate you to that group you just voted not to
join".
All this is wrong. Very wrong. Morally and ethically wrong.
Snip...
Ahmad
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