On Sat, 12 Sep 1998 08:33:28 +0100, Adrian Midgley wrote:
>Should Pharmacists be bought out and brought into the Firm as
>partners, or employed?
Yes. The latter like everybody else.
The Firm is the HMO. The firm has the task of 'Health Maintenance'.
Procurment is not a function of its clinical cadres.
>If taken in as partners what supervision should be established
>nationally locally or regionally to deal with any perverse
>incentives - eg to prescribe and dispense in the most profitable
>combinations so as to increase income to the Firm, in which both GP
>and Pharmacy partners would share?
None other than the occasional scrutinity by the NAO and NICE
Because big bucks are at stake, fat brown envelopes will pass round
under the name of parliamentary lobbying, joined up government, the
Third Way and such other crap ;-)
>What alterations to the laws and regulations governing the supply
>and remuneration of Pharmacy are indicated?
Complete overhaul of the PPA (including abolition)
Complete scrapping of the SFA and such like that governs pharmacy
More draconian powers to the MCA ala FDA style
Freedom of Information Act (NOW please!)
Overhaul of the electoral system
The UK as a Federation of 4 countries that are in a bigger Federation
of Europe
More power to the regions
A deeper understanding of rule by the people
Lots more but that's enough for now
Ahmad
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Dr Ahmad Risk
http://mednetics.org
home: +44 1273 748198
work: +44 1737 240022
fax: +44 1737 244660
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