At 22:15 05/06/1998 +0100, Ahmad Risk wrote:
>On Wed, 3 Jun 1998 15:33:22 GMT, Graham Ride wrote:
>
>>As a potential patient, devil's advocate and Jo Public I need to know, in a
>>nutshell, what the governments PCG proposal is so that I can assess why you
>>say all these things will obtain.
>
>Yesterday, we discussed the first batch of 5 reasons why PCGs are Bad
>for People, Bad for Doctors and Bad for Britain.
>
>Here is batch number 2:
Somebody referred the other day (my apologies, I have forgotten who and lost
the email) that we already have a 3 or 4 tier system. I assume that other
than private tier the other tiers are internal tiering within the NHS. If so
how does that come about?
Is it to do with the waiting list for appointments mentioned by Dr Law? Do
small practices have shorter waiting lists than larger ones because there
are less management difficulties (you said you aren't trained or designed
for management <g>) or is it vice versa because there is more cover? Does
anyone know what the most efficient paradigm is? Sorry, daft question, what
do I mean by efficient? This is part of the problem isn't it, defining what
is a good service from the patients viewpoint AND the doctor's AND NOT the
government's.
I also cannot see that an entirely over-worked medical profession can
produce the best service or incentives to enter it.
Don't laugh but why don't you get to know the scriptwriter's of that amazing
Derbyshire soap in time for the next series? Talking about PCGs around a
table in the local pub could keep them busy for weeks! I know, Cardale is
the unhealthiest place in the UK... cluster after cluster, epidemics galore
but Jane and Jo Public watch it in their millions. Anyone know where it is,
by the way, so I can avoid it. 8:)
Graham
"The lesson of history is that he (mankind) never avoids catastrophes; he
just spends his time recovering from them" - Gordon Rattray Taylor
------------------
Graham P P Ride, Cybermetrix Ltd.
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