you said
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.
presumably this is why some of our rural colleagues are currently
cherry picking so-called like minded colleagues, also mostly
ruralish, to join them in the A-grade PCG. Whilst elitist and no
doubt unfair i can see their point . why share financial risk with a
bunch of no-hopers who spend more than their patients fair share on
resources. i don't agree with this philosophy (something to do with
value judgements i'm told).
i'd like ten good arguments against it please.
(BTW i'm not just referring to dispensing GPs , far from it)
od
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> From: Adrian Midgley <[log in to unmask]>
> To: [log in to unmask]
> Subject: PCGs need to take over pharmacies and dispensing Drs
[wasRe: RE: Panorama]
> Date: 25 April 1998 18:30
>
> 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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