Declan,
<< when I tried using the
evidence to get treatment with a chance of improving my patients (as
opposed to what they were getting which had no chance at all of improving
them and in fact carried the risk of making them worse) I found >>
Do you think there might be a difference between one GP trying to do something
and all the GPs in the area doing it?
<<CG does not the power or the facilities built in to cut across
bureaucracies, penetrate empires or bypass the agendas of power-brokers in
the NHS. >>
There I suspect you are wrong BUT what it does mean is that it will be even
more difficult for someone to be out of step.
<<1. Trust Chief exec responsibility, reports etc----what happens when
difficult customers of doctors start writing to the CE telling him that
certain services are unstable or unsafe because staff levels are way down
or necessary equipment is not available? >>
Assuming you mean the PCG writing none of it should be confidential - the lay
member will be there to ensure the public are aware of what is going on (and I
suspect that may involve the press)
<<2. Evidence-based practice will put costs up massively.>>
<<Where will funding for all this come from? >>
Reducing expenditure on T&As, grommets, impacted wisdom teeth etc? There are
loads of other expensive things we all do with little or no benefit.
Is it unreasonable to try to make what money we have work better?
There isn't going to be a massive cash investment in healthcare - ever
Iain
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