Ahmad,
>Since I don't want to 'play' PCGs, the following answer is purely
>hypothetical:
While I agree with your sentiments, I think you are fighting a losing
battle.
Healthcare in this country will be managed. The question is who will
manage it. By opting out, you are in danger of leaving the field open
to non-clinicians.
By all means decide that healthcare is best managed by a multi-national
but why let it happen by default.
>What's wrong in involving industry and commerce? All leading players in
>PCGs have vested interests. Unless, of course, you are suggesting
>that GEHE does not have a vested interest in patient care ;-)
GEHE's vested interests are (and have to be) in it's shareholders.
The idea of employee GPs has been floated already. Now look at the track
record of GEHE in relation to pharmacy. From a pharmacy wholesaling company
it now the largest chain of pharmacies in the country. Why should they not
be
expected to have a similar view of GP practice? Imagine the difference
company
prescribing formulary would make to their wholesaling operation.
If that is a future that GPs want, if that future represents better patient
care, then fair enough:
but to let it happen by default because you *don't want to play* - that is
in my view
rather sad.
>The fact that somebody needs to make a profit for a living (don't we
>all) doesn't mean that that body is necessarily an outcast!
No it doesn't, but a multi-national does not make a profit for a *living*,
it tries
to make a profit for it's shareholders.
>I bet GEHE would be a damn sight more efficient than HA admindroids ;-)
>It might even bring clarity and focused objectives to the party.
I have no doubt that it would. It's management skills are not in question,
only its objectives and the future development of magaged healthcare in the
UK
>
>All this, of course, is hypothetical ;-)
But for how much longer?
Regards
Jeff Green - Community Locum and Consultant Pharmacist-
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