One of the little difficulties of being in a unified funding stream
with one's colleagues is that some are at present being paid to
prescribe higher volumes of more expensive drugs.
I refer to dispensing doctors.
It seems an innescapable conclusion to me that we should approach the
task of supplying drugs etc in primary care as a single system across
the PCGs.
Therefore all community pharmacies can expect to be incorporated into
the PCG.
THis will immediately tackle the two problems of useless nostrums
(nostra?) being dispensed for cash, and of waste of money which the
population are clearly happy indeed eager to pay for what they are lead
to believe is health care IE buying such mixtures for their cough etc.
Pharmacists will be taken into the NHS on salaries, or perhaps allowed
a profit share along with th eother shareholding entrants to the PCGs,
the GPs.
SOurces of pharmaceutical supply will logically be redeployed to the
most logisitcally sensible locations, IE in the PRactices and
supermarkets, and in the out of hours centres.
The rather dodgy Farillon supply channel will usefully coalesce into
the PCG pharmasupply network, and the hospitals will no longer take
loss-leading offers from Pharmacompanies since the unified
pharmaceutical supply will run to both primary and secondary care.
Fewer prescribing advisers and liason people will be needed in the
HA/Trust administration top-hamper since most of their work has been
encouraging the sale of nostra and discussions beween primary and
secindary care on how to oppose loss leaders. THe pharmaceutical
industry will snap them up as they are so very talented and
experienced, to work out ways around the new order.
Next week, "Physiotherapy moves into realtime in practices". If I can
get the crystal ball charged up again.
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