-----Original Message-----
From: Graham Balin <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 16 October 1998 20:25
Subject: Cottage hospitals bed fund
>Can anyone help me with some background info regarding the above?
>As the temporary (=unwilling) chairman of our local GP hospital medical
>staff committee, and about to start negotiations for an increase in the
>Bed Fund, I would be interested to know what other people get around the
>country.
>
>Am faintly horrified to see in medeconomics that the fund (ukp466.25 for
>each eligible bed) is recommended.
>
>I seem to remember reading somewhere about a scale of fees ukp 50 or so
>for the first day in hospital per patient, 10 thereafter, which seems to
>me more reasonable.
BMA has a formula on a points system - reducing from 50 points on day 1,20
points days 2 to 7, 5 points days 8 to 15, 3 points per day days 16 to 20, 1
point per day day 21 on. Contact Peter Holden c/o GPC office for latest
version. We have been paid 50p per point in the last 18 months, increasing
soon to 55p after a bitter struggle linked to clincal governance
responsibility for chairmen of medical staff committees. BMA recommended
rate is now about £1.20 per point but Peter will update. Rates obtained in
SW Region vary up to £1 per point.( S. Devon & Torbay do best) We have
separate casualty contracts - complex but very effective. Based on second
point hospital practitioner scale. Hospital gets 2 sessions for 24hr call, 1
session for 12hr call. Then actual sessions paid at sessional rate. Then
in-hours ad hoc calls ( 8am to 10pm) 30mins time per patient, 45mins bank
hols and Sundays ( assuming 3.5 hours per session) - paid at hosp pract.
rate 2nd point on scale . 10pm to 8am £38.50 per patient ( updated in line
with inflation). When the Co-op is on call the Co-op doc gets the fee for
the individual patient attendance at casualty - no fee for inpatient calls
rare anyway), except post op surgical care when £38.50 fee is paid per
call.
Advantage of linkage to hosp pract scale is automatic updating by Review
Body. The Trust doesn't like it. Points system causes problems as annual
battle to get uplift.
Hard negotiating to get anything mind!
Best of luck.
Peter Fellows.
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