Since when did a CT cost £200? When I last checked the marginal cost for a
CT was less than £5. The radiologist and radiographer are already on call
(and paid from another budget!) and there's no films anymore; just
electricity buzzing round some silicon chips. And even if you went for
notional unit cost, I bet a CT's much closer to £50 than £200.
Besides, much of what you've listed below forms part of other's budgets, as
I presume the A&E payments go purely to A&E. But the whole thing's
completely bonkers if you ask me. Much worse than Major's internal market.
There will be a whole load of new bureaucracy surrounding this but no real
change in how services are funded or delivered.
AF
----- Original Message -----
From: "Adrian Kerner" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, March 22, 2006 12:13 AM
Subject: Re: Corrected tariff for the 2006/07 Payment by Results
FW: From the Department of Health (Gateway Reference 6326): Corrected tariff
for the 2006/07 Payment by ResultsCheap for the major RTA!
CT £200
Bloods £50 + £100/ unit blood.
Equipment & drugs - £100 - arterial lines / chest drains etc
Staff time £200 ++
=£600
Any advances or refinements?
Adrian
----- Original Message -----
From: Ray
To: [log in to unmask]
Sent: Tuesday, March 21, 2006 8:19 PM
Subject: Corrected tariff for the 2006/07 Payment by Results
Subject: From the Department of Health (Gateway Reference 6326): Corrected
tariff for the 2006/07 Payment by Results
Accident and Emergency Mandatory Tariff
A&E tariff name A&E tariff (£)
High Cost Attendance 99
Standard Attendance 71
Minor A&E / Minor Injury Unit Attendance 54
There has been no change to the Emergency Medicine Tariffs. I'm still
trying to find out the exact triggers for the High Cost Attendance. Anyone
know?
Is a standard A&E attendance all those excluding High Cost ones and the
minor cases are the ones attending Minor Injury and Walk in centres?
Ray McGlone
