don't know if anybody at all out there is interested, however, press on:
further session on c.g. at the HA, eventually 5 possibilities presented
themselves,
i'd be interested in views and developments in other parts of the
country
clinical governance for pcgs could have five strands, and these are to
be discussed by the pcg
1. policing of poor practice, by the HA, (prob no. crunching) process
and penalties to be agreed by the pcg
2. educational incentive monies for practices to demonstrate
improvements according to the 'quality standards framework' perhaps
administered via cme tutors, and developed by the LMC in conjunction
with HA (used some of the criteria RCGP developed for fellowship ass. by
practice)
3. joint working with secondary care to agree generic standards, and to
develop speciality liaison groups
4. the development of maag to become a resource for the pcg to audit
aspects
of the care being purchased and for the input of the latest best
evidence from
NICE or other sources in to the Speciality Liaison Groups.
5. For MAAGs to facilitate and to provide training for practices so that
they can
develop their own practice based pathways of care, that may or may not
involve consultants or other clinicians, again with financial incentives
as in 2.
owen dempsey
GP
West Yorks
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