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£62 in April though (smile) Ray McGlone LanCaster -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Andrew Webster Sent: 28 November 2008 22:26 To: [log in to unmask] Subject: Re: Telephone advice from the ED I understood that HRG4 was not going to include A&E tarriffs and that we would still be using HRG 3.5. Presumably because it showed that we would cost to much. Amzaing how much a the hospital gets for certain procedures. For example if we suture a child up using ketamine, we get the low tarriff of £54. The same procedure done by max-fax would bring the trust in over £1000. Andy On Fri, 28 Nov 2008 19:55:13 +0000 mark nicol <[log in to unmask]> wrote: > > I attended an update regading PBR and it seems likely >that with HRGv4 details liekly 8dec08, for implementation >april 09, there will be clarity of fee for non face:face >consultations (if it is in lieu of a face:face >consultation). > mark> Date: Fri, 28 Nov 2008 17:25:31 +0000> From: >[log in to unmask]> Subject: Re: Telephone advice >from the ED> To: [log in to unmask]> > > I > > >doubt it makes much difference either way and know of no >real > > life case of successful litigation about bad >telephone > > advice. > > One happened in my own >department (the incident was shortly before I started as >a consultant in 1998, but I was involved in the paperwork >afterwards). Part of the problem was that the lack of >paperwork made it impossible to defend.> > > The opposite >solution, of course, is all callers for advice > > should >be told to attend. This may lead to a lot of > > >"nonsense" visits, and opens us to the accusation of > > >profiteering by our PBR masters.> > > > That would seem >to neatly transfer the problem to the PCT: if they don't >want you to advise these patients to attend, they could >provide a service that deals with the calls and directs >the patients as they feel appropriate.> The other point >is that if you are giving telephone advice it would be >reasonable for there to be a tariff for that (as happens >with advice to GPs in some areas)> > Matt Dunn> Warwick> >> > Did you know South Warwickshire General Hospitals NHS >Trust is applying to> become an NHS Foundation Trust? You >can find out more about our application> and/or apply for >Membership at> >http://www.warwickhospital.nhs.uk/foundationtrust/default.aspx> >or by calling our Foundation Trust Office on free phone >0800 085 2471.> > This email has been scanned for viruses >by NAI GS6, however we are unable to> accept >responsibility for any damage caused by the contents.> >The opinions expressed in this email represent the views >of the sender, not> South Warwickshire General Hospitals >NHS Trust unless explicity stated.> If you have received >this email in error please notify the sender.> The >information contained in this email may be subject to >public disclosure> under the NHS Code of Openness or the >Freedom of Information Act 2000.> Unless the information >is legally exempt from disclosure, the> confidentiality >of this e-mail and your reply cannot be guaranteed. > _________________________________________________________________ > Time for change? Find your ideal job with SEEK. > http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Fninemsn%2Eseek%2Ecom%2Eau%2F %3Ftracking%3Dsk%3Atl%3Ask%3Anine%3A0%3Ahottag%3Achange&_t=757263783&_r=SEEK _tagline&_m=EXT