[log in to unmask],Net wrote at 21:51 on 06/02/98
about "Re: Untitled":
-----------------------------
>If you are a 'good' practice, will you be happy subsidising a 'bad'
>practice?
>
>Interesting times.
>Dr David J Plews
>------------------------
No.
And I already am, with our out of hours co-op which was set up so as to
take a
contribution per principal, regardless of list size or use of service.
So practices who have large average lists, and choose to "manage demand
downward" by not seeing their pateints when they present with the wish
to be seen spill their work over onto their colleagues in the out of
hours service.
And their patients' dissatisfaction spills over as well.
In Exeter we have 13 practices, with a wide variety of approaches to
work.
The general level of effort and ability is of course high, but there
are
clearly some whose lists are larger than their ability to cheerfully
handle
them.
I do not see a PCG operating with 13 competing companies, but I can see
it
operating with an agreement to pool both work and remuneration,
equitably.
Interesting times.
--- OffRoad 1.9r registered to Adrian Midgley
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