In message <[log in to unmask]>, stew
<[log in to unmask]> writes
>You're all absolutely right. This new system is shite. However.....
>
>1. We said the same about Fundholding and where did it get us......50% of
>us were fundholders in 3 years...etc etc.. We are NOT united, and never
>will be...so lets not delude ourselves.
Fundholding was beginning to crumble anyway. What was going to happen
when the overspends had to be funded from the total budget of the HA -
but savings belonged to the individual practice?
Some risk management!
There were problems early on in Hertfordshire - with 97% fundholding.. T
>
>2. The government has a majority of almost 200, and is still the most
>popular government in history! Its PR machine will ALWAYS be bigger and
>better than ours...and it will ALWAYS win.
You may be right..
>
>3. They never did want to give GPs control of PCGs. They have demonstrated
>that by clawing back most of Milburn's promises. The one thing they haven't
>clawed back is our hard-won majority.
Is it possible to negociate with a government which seems to have the
same negociating credibility as - say - Saddam Hussein?
>
>4. The nurses are a far more obedient option...and they think they are
>cheaper too.........and........
>
>5. They have already drafted regulations and taken powers to draft in
>nurses to fill GP seats on PCG boards if GPs follow a path of
>non-cooperation
Do you know this for sure - and are you confident that nurses would be
prepared to co-operate?
>
>6. The nurses will willingly take those seats....and then THEY will be in
>control of our GMS, our reimbursements and our incomes.
Instead of our colleagues and competitors or the HA?
>
>7. We have fought for the right to be in the majority and in control. Even
>if the system is shite, it is better to influence from pissing within, than
>from pissing outside.
If the system is shit, we won't have any influence anyway.. so why
subsidise the thing with finance, sweat and ulcers?
>
>8. If we dont participate and run this thang, we will end up with half of
>us going in voluntarily,
army volunteering?
> the rest of us being dragged in in any case, and a
>few brave chaps going private in a market which only the few wish to join -
>why pay for a rolls royce when you get a Merc for free?
>
Can a private GP refer a patient for NHS hospital care?
Does anyone know of a private health care scheme which continues to fund
treatment , without increasing the premiums, if you claim too much or
too often?
Mary
Mary Hawking Kingsbury Court Surgery Church Street Dunstable LU5 4RS
tel:01582 663218 (surgery)fax:01582 476488 (surgery)
Member of British Healthcare Internet Association
Dunstable and Houghton Regis Locality Commisssioning Pilot
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