Message text written by INTERNET:[log in to unmask]
>I don't want Community Trusts, Hospital Trusts,
pharmacists, dentists, opticians, social workers, etc
making these decisions on our behalf.<
No more do I. Nor would I want to have to make them myself as a GP manager
of a PCG. What my PCG considers to be a waste or, shall we say, less
cost-effective or good use of PCG funds may be completely at odds with what
your, next door, PCG believes. Even within PCGs, what my practice
considers good for my patients others in the PCG may object violently to as
a waste of the PCG funds. Who, then, will patients complain to? The HA?
They will get short shrift there - "The GPs run the PCGs, dear, it's all
their fault". I would imagine that there is some sources of conflict
developing here.
Those who hold the ultimate purse-strings should be the ones to bear the
responsibility. Ludicrous it may be, but if I am given unlimited funds
then I am prepared to take unlimited responsibility for the services I
provide. I won't be and I am not. As Ruth says, quite correctly,
unlimited funds are not possible - so why is the corollary so attractive?
Are we lemmings or what? We are simply fodder to provide the DoH with a
rationing get-out. :-(((((((((
Some say this rehearses the arguments against fund-holding but it was
fund-holding which bit the dust partially because of these arguments and
the two-tier system.
David
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