>It is worth trying to separate the clinical reasons for not coming to
>the TC - too fragile or uncomfortable to be moved, from the social ones
>- wnat somebody else to pay for transport.
>
>The latter could be addressed by establishing a fund, based on the
>Friends, and with a little pump priming from the Co-op, and don't be
>stingy, it will save petrol costs.
If society wishes to pay for taxi fares for the poor and feckless then so be
it fully understanding in the end it comes from the tax payer, who recently
has shown to be keen on keeping more of their hard earned cash. As for the
Co-op pump priming words fail me. Co-op costs come from GPs and OOH fund for
admin but not transport. So it will be GPs who pay for taxi fares? I think
not.
>Establish a suitable lady almoner or other public spirited type at the
>OoH TC in the evenings and wekends, and have her pay taxi fares or bus
>fares where it seems to her to be appropriate.
Social problem equals DSS?
>Against, of course, a signed declaration from the family involved that
>they are deserving poor, and that they have neither friends nor
>neighbours who were willing to give them a lift.
As effective as the reverse of a prescription? What sanction would you take
against those who would abuse the system as they will?
>You can invite the local paper to run an appeal for contributions to
>the fund, an easy and socially useful story to run.
No problems with charity but CHC or Patient Participation Group to run it.
Co-op NOT!
Paul Attwood
GP Thanet
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