Ahmad wrote:
> Hands up anyone who has a Practice or personal formularly that is larger
> than 1000 items.
I know what you mean but, actually, practices who have given it some
thought invariably come up with a *short* list of drugs. Also, the
published GP formularies e.g., the 'Newcastle' guide are very
selective. By contrast, many hospital 'formularies' are as thick as
the BNF. Draw your own conclusions ;-)
Then Owen Dempsey said:
>>The NAFP is pressing for care groups to be allowed to
>>devolve budgets to
>>individual practices (just like fundholding)<
>Good idea - gives Practices a sense of ownership.
I'm not so sure. There is an genuine advantage in
setting prescribing budgets at a level above that of the
practice. We do not know much about what signifies
prescribing need but the available models all
provide a better 'fit' for observed patterns of prescribing
(which may or may not signify real prescribing need) when applied at
the level of, say, a PCG or HA than they ever will at practice
level.
Mark Campbell
Newcastle-upon-Tyne
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