I think it's outrageous that you were censored. I'd complain to your LMC who
should report it to the GMSC and thence HMG, who have requested details of
H.A.s who are being autocratic.
Two points.
1 Why didn't you all know about the deficit already? HAs have kept things
quiet because their jobs were on the line. GPs can shout about both this and
the rationing decisions, to the world.
2 It will be a multi-professional group including Nurses, hopefully CHC and
Social Services, even local Councillors who will take some of the weight of
these decisions.
I know this has no effect on your views but I think it will have a bearing.
Out of interest what will happen if the profession reject the White Paper?
Will HMG take it meekly or will Alan Milburn, as is his wont, say "I will
bring in legislation to alter the contractual status of GPs to employees".
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From: [log in to unmask] on behalf of Ahmad Risk
Sent: 28 April 1998 05:57
To: GP-UK
Subject: Inheriting the earth?
Just walked out on a Locality Commissioning meeting in protest at being
censored and not allowed to express my views.
However, thought I'd tell you about the 2 little gems below:
It has become clear that if and when a PCG is formed in my area, it
will inherit the local Trust's deficit.
That deficit currently stands at 2.5 million pounds and unlikely to
diminish over the coming year or next.
It was also made clear that the PCG will have to clear that deficit and
that it must also decide how to do it.
Another inheritance is the 'Waiting List Initiative' which the PCG will
have to implement.
These are the first clear indications that PCGs will have to decide and
implement cuts in services or come up with other means to raise the
necessary finance to accommodate these and other inheritances.
When I asked where the money is coming from, there were looks of
puzzlement all round. Nobody actually had thought about it!
To those still walking in a semi-comatose state I say: sober up before
it's too late!
Ahmad
___________________________________________________
Dr Ahmad Risk
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