Mark said:
>I suggest that the majority will be fearful of leaving the security of that
>secure but mediocre income, not to mention cost-rent etc which guarantees
>that they can pay the mortgage.
Reckon there may be some income variation within the PCG as although HMG has
protected GMS there is no guarantee that PCG would not redistribute say
ancillary payments to favour its particular brand of health provision eg big
practices.
>Few of us know anything but the public service, and beleive in it too?
True but are you a deep ender or a toe dipper?
>How will chambers meet the health needs of the poor, the day after we all
>resign from the NHS, if the Govt has not agreed to pay?
The problem of society's needs and provision for said are a problem for the
government.
>What do we do when the embarrassed and aggrieved govt decides that it can
>train up nurses to do the bulk of primary care, supported by a few
>"consultants" in primary care?
1) That would take a fair bit of time and training..........in the meantime?
2) Is this yet more things we are foisting on the nurses? GMS work. NHS
direct. They have numbers shortage too. :-)
Paul Attwood
GP Ramsgate
>Mark
>
>
>> -----Original Message-----
>> From: [log in to unmask]
>> [mailto:[log in to unmask]]On Behalf Of Ahmad Risk
>> Sent: 17 October 1998 12:03
>> To: [log in to unmask]
>> Subject: Re: What happens if we don't co-operate with PCGs?
>>
>>
>> On Sat, 17 Oct 1998 10:55:06 +0100, Mark Pasola wrote:
>>
>> >Imagine being bound by PCG decisions over which we have no
>> influence - the consequences are fearsome!
>>
>> Commenting on this and the other bits of the doomsday scenario that I
>> snipped:
>>
>> Non-cooperation won't work because you are still a hostage. It's like
>> a hostage in Beirut refusing to eat!
>>
>> Imagine this:
>>
>> All the political capital is realised by forcing through PCGs without
>> doctors, everybody onboard except the doctors, all pcg boards are happy
>> bootlicking and wallowing in the power and the glory.
>>
>> Now imagine this:
>>
>> The doctors (primary and secondary) are not in this cosy setup. What's
>> missing?
>>
>> Now imagine this:
>>
>> The doctors have left and formed themselves into Medical Chambers.
>>
>> Thus ending all this crap about gms/reimbursement/redbook/decision and
>> policy making divorced from reality, etc.etc.
>>
>> Your *real* power, my dear learned friend, is *not* in manipulating the
>> levers of power.
>>
>> Your real power resides in your ability to heal.
>>
>> You have a choice now:
>>
>> 1. Sell it cheap to a bully, remain a hostage pissing inside the tent
>> (it won't take long before the stench gets everybody out)
>> 2. Or let the market decide its true value by being an indpendent
>> *medical* care provider working from Chambers
>>
>> In the case of the latter, the NHS that they would have created without
>> you will come knocking on your door just like any other customer you
>> care to mention.
>>
>> Want more details? Watch this space.
>>
>> Ahmad
>>
>>
>> ________________________________________
>>
>> Dr Ahmad Risk
>> http://mednetics.org
>> Office: +44 (1273) 748198
>> Home: +44 (1273) 724866
>> Fax: +44 (1273) 748198
>>
>>
>>
>>
>
>
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