In a message dated 11.11.98 10:26:09 BST, Jeff writes:
> I'm still not sure what clinical governance means, but as prescribing
> indicators go significant underspends on cardiovascular or diabetes might
be
> worth investigation
Clinical governance appears to mean quality control
How can a GP tell a colleague what to do?
And even *more* how can a non-GP??
Still, there are probably basic areas of quality that could be tackled with
protocols etc agreed as a group
Re prescribing indicators, I don't think cardiovascular spend is an easy one
We have a low cardiovascular spend
A mid-range (for our PCG) figure for ASTRO-PU in practice population
A mid range spend on lipid lowering drugs and ACE inhibitors
We just use lots of bendrofluazide and atenolol for high BP
As far as I know our patients' blood pressures are no worse than average !
(How can you tell?)
I try hard to prescribe only one antihypertensive, rather than adding on all
the time
So that means I see the patient more often while I get them stable on one
drug, maybe trying different ones for a month at a time till I find the right
one
Does that make me a poor quality prescriber?
I hope not, but it might look that way :-(
Grace Marshall
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