Ahmad,
>What is the real and rational argument against a 'national drug
>formulary'?
Political. How to convince GPs and the public that it was a good idea.
For example how can anyone hope to impose a national formulary of allowable
drugs while an attitude of giving in to patients demands (as evidenced by
your reply to a question about unlicensed single vaccines attests) is
prevalent.
Out of context quote:
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>Yes. Have done and would continue to do.
>Risk
>(never argue with patients and become a legend in your life time)
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>Anything outside the NDF, patient pays (or PCG funds from efficiency
>savings ;-)
IMO a significant part of the drugs budget is wasted on unnecessary
treatment. It's not just which drugs are prescribed, but often more
importantly the reason for prescribing.
>I am just attempting to break this open-ended order book-must
>deliver-diminishing resources loop.
IMO that loop is political rather than financial. Going back to the Dr
Iannis thread (Is there a record for cross quoting in a single message;))
and 1953.
> "In those days Great Britain was less wealthy than it is now, but it
> was also less complacent, and considerably less useless. It had a
> sense of humanitarian responsibility........."
I related that to the NHS, the sense of humanitarian responsibility has been
replaced by one of fiscal responsibility. HMG is complacent in its belief
that an underfunded NHS will continue to function because it always has.
Regards
Jeff Green
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Community Locum and Prescribing Support Pharmacist
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