A negotiated settlement enables GPC to get others things
through on A option than would be possible under B. B means that GPC loses
negotiation rights for far longer than this short term
issue.
B means the loss of national negotiations on GP contracting
IMHO
Gillian
On 15/02/2008, Fay
Wilson <[log in to unmask]>
wrote:
The
DES (which no-one in their right mind would do whether Option A or B
is
passed)
So, increasingly it sounds like as we are
going to get A or B imposed regardless, we agree with the GPC that A is the
least worst of the two options, because it does not remove points from QOF, and
then when imposed we just don't do it as it is not economically sensible to do
so.
Which means we lose a bit of money, and the government will fail to
deliver on their promise. And the PCOS will get in a tizz and have to do
something that makes at least 50% of practices actually offer the service, or
they get into trouble. So, effectively, we get A, don't do it, and then
re-negotiate terms locally?
It is hard to see how PCTs could go elsewhere
with A. Using alternative providers to supply GMS style care solely in
extended hours would be expensive and inefficient, and probably not what the
punters want. I hope.
Much easier then in future years to move QOF
around again, if and when it becomes apparant how crap the whole idea was. But
much harder to have QOF points returned after they are removed.
Though,
yet again, I could be mis-interpreting the whole thing....
