Adrian wrote:
> Subject: National Secret Prescribing Centre
> I see from the journal "Prescriber" that the national prexcribing
> centre is to place details of all NHS incentive schemes for reducing
> prescribing costs on a _secure_ web server accessible only to senior
> NHS administrators.
>
> Who as far as I know don't write may prescriptions.
>
> THis is a class of information which surely will become disclosable on
> request when the freedom of information act appears, but more to the
> point why would anyone (for instance their senior lecturer and
> consultant, Avery) think it was either necessary or satisfactory to
> secure such information against the doctors affected by these schemes,
> or the patients affected by the effect they have on the aforesaid
> doctors?
>
> Ha!
I wonder if the logic (or maybe that should be 'logic') behind
putting the details about the schemes on this secure Web server is to
ensure that Prescribers (ie GPs) will not be able to discover the
details of the scheme and so exploit them.
If what the server golds is NOT details of how to prescribe more
economically, BUT the details of incentive schemes to encourage
economic prescribing, then this might make sense to the twisted logic
of the Administrators.
As an aside, I spent quite a lot of time after the Panorama broadcast
trying to devise fraud proof ways of handling the mis-claiming that
you all apparently indulge in. In the end, I had one of those
Eureka insights we all get from time to time, and realised that
the really fool-proof way to stop misclaimimg of this sort was to
just give you each an average payment, and ask you to do the various
things that you were supposed to be doing. No claims, so no
mis-claims. You see, unlike the Administrators, who only understand
motivation by payment, my belief is that if you were given a
realistic, fixed, payment to do a job, and asked to do your best, you
would do the job. But then I was always a big softy.
Mike Wells
Mike Wells
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