On Sun, 5 Apr 1998, Ahmad Risk <[log in to unmask]> wrote on gp-uk
>7. And, if I were an underspender, I would want to reward my fellow
>savers and certainly not subsidise rewards for those who just managed to
>be neutral (at best) or cut their deficit but still in the red (at
>worst)!
>
>8. can you give one good reason why I should do that?
It depends what you think "overspending" and "underspending" represent.
It seems to me that it is possible to employ techniques that can reduce
the total cost of ones prescribing, while benefiting the patients
health. These have been discussed before on gp-uk.
If you believe that employing such techniques will lead to an
"underspend" and not employing those techniques will lead to an
"overspend" then I concur with your analysis.
BUT, there appear to be major other factors at work, not reflected in
the notional (and actual) drug budgets. These other factors mean that
the budget at practice level is usually wrong (either too much or too
little). In these circumstances, all the practices agreed that the
fairest and most equitable approach was to "subsidise rewards" for the
efforts by overspenders and underspenders.
There is an additional reward for individual practices currently
suggested at 25% of the residual underspend, to go to the practice.
--
Jon Rogers Tel: 44 117 950 7100
Southmead Health Centre Fax: 44 117 944 5498
Bristol BS10 6DF UK e-mail: [log in to unmask]
GP and Member, NW Bristol Locality Commissioning Group; Treasurer, PHCSG;
Chairman, GP SWG Read Codes; Medical Advisor, AAH Meditel;
Vice Chairman, Avon LMC; Member, RCGP Informatics Group;
Member, Avon Health Strategic Advisory Group; Member NACGP
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