Tricky. I'm not even going to think about this one until we get guidance
from the DoH.
Moving budget setting to PCG level would cause something of a convulsion in
the present arrangements, where budgets are set at practice level.
Personally, I am convinced that any system which doesn't set budgets at
practice level is bound to fail.
It is possible that budgets will be set at PCG level by applying a national
weighted capitation formula, but the best method would be to modify the
existing system (which despite appearances to the contrary) is pretty
sophisticated, and start moving PCGs towards their weighted capitation mean.
The problem with setting PCG prescribing budgets de novo is that it will
produce some quite brisk shifts, and these have never been very popular in
the past.
Like I say, wait for the guidance!
Andrew
Dr. Andrew N. Herd MRCGP
Family Physician, Medical Adviser to Durham Health Authority
Honorary Lecturer in Primary Health Care, Durham University
Editor, Practice Computing
> -----Original Message-----
> From: [log in to unmask]
> [mailto:[log in to unmask]]On Behalf Of Rob & Glynis Davies
> Sent: 16 June 1998 21:25
> To: gp-uk bulletin board; mark campbell
> Subject: eqitable drug budget for PCG?
>
>
> is there an infallible method of sharing out the HA budget betwen the PCGs
> or (LHGs in Wales ?)
> views please
> especially constructive
>
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