> From: [log in to unmask] (Adrian Midgley)
> >Any bets that the three rolling programme will be a simple roll-over
> >of the crappy contracts we currently have:-(
>
> Well, what are your options?
> Can you think of _one_ improvement to the crappy contract you sat by
> and watched your colleagues negotiate?
>
By colleagues I hope you mean HA officers. As part of the
commissioning group I suggested years ago that we go through each
speciality contract line by line. No such luck:-(
> If so get it written in, not much of a task fro you and a demonstrable
> improvement.
>
Ok, no problem.
1. 4 weeks drugs from out-patients and on discharge for
on-going treatments. Resolutely objected to by HA and Trust officers.
The biggest single improvement, possibly, to patients, relatives and
GPs.
2. Sick notes to be issued by the hospital. The next biggest
improvement, possibly, to patients relatives and GPs.
3. Proper supervision of prescribing by juniors and consultants by
the prescribing committee. (How about proper supervision and training
anyway - one specialty in my local DGH has lost its accreditation
recently).
4. Proper audit of clinical activity - eg the warfarin
clinics, false positives (and negatives) of the cervical screening
programme, etc.
5. Feedback from consultants to GPs on the appropriateness of
referrals - touchy-feely this one, but I freely admit that I don't
get it right all the time.
6. In-patient cataract surgery to be replaced by day-case phaeko
operations.
7......
> If not, belt up.
>
See above.
> >All PCGs will have to do is meet the financial targets i.e. ration:-(
>
>
> Tell your local paper.
> Or nobody.
>
Nice articles in the papers I read about this already:-)
I think you are getting upset with this thread, so perhaps it should
be terminated.
Dr David J Plews
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