In a message dated 4/6/98 12:58:22 GMT, you write:
<<
If the quality of my prescribing is good and I am always at or below
budget, why should I reward those who are not?
Isn't this pathognomonic of the whole NHS? That we keep on subsidising
it with good will and personal income?
Why can't you just penalise the overspenders and poor subscribers? ;-)
The PCGs will either have to do that or raid other resources to maintain
that dogma that says we, doctors, have to keep on shoring up the
system.
Ahmad
<<
Back to my original point, it all sounds very reasonable as long as the budget
is set fairly and equitably in the first place. We are overspending this year
despite using agreed practice guidelines on prescribing and a 76% rate of
generic prescribing.
There is not much scope left to 'economise' further. Unethical choices are
not on the agenda, just tough bargaining with the prescribing advisor at the
HA.
Jenny
GP London
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|