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Let's be a bit controversial - and I am fully aware that I am probably in a minority Why is anyone surprised by this move, we all read the Carter Review and it was quite clear, reconfigure with true hub and spoke models and significant savings in cost to the NHS spend on pathology can be made. How many years ago was it that Carter produced his report, and is that not enough time to deliver? Let's remember that the 20% saving was expected [and was hopefully to be reinvested but the Bankers put paid to that] and is being taken out of NHS budget, and is supposed to be the starting point before the CIPs I'm sure people would agree that the standard of healthcare in Germany is not lacking, but here are some uncomfortable facts. Average per capita cost of laboratory diagnostics in the UK is about $56 [figure quoted by PWC is actually $70, but they did not take into account blood products] Average cost in Germany is $40............................and before everyone starts by saying it's not comparable as we do it differently, if we accept that they are not comparable, the uncomfortable question left is why does a significantly lower spend on diagnostics still deliver an excellent health service? DJ From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Griffiths Paul (RQ3) BCH Sent: 31 January 2013 11:39 To: [log in to unmask] Subject: Re: "A Step Forward In The Transformation Of Pathology Services" Dear Colleague, The silence from the profession regarding this issue is deafening! This initiative has the potential to destabilise many pathology departments, taking away upwards of 50% of their workload. They will still be required to provide an acute service for their Trust, including out-of hours. This will subsequently increase their unit costs and brings into serious question the proposed financial benefits, especially when taking into account the costs and difficulties of moving samples around large conurbations. You may have read the anonymous article in the ACB News Sheet on what has happened to the service in the East of England as part of this "transformation" process. The fact that the authors did not feel able to put their names to this article speaks volumes about the nature of the process. Are we, as a profession, happy with what is happening? I would encourage and welcome a debate on this issue. Regards Paul Paul Griffiths Consultant Biochemist Head of Department & Director of Newborn Screening Newborn Screening and Biochemical Genetics Dept. Paediatric Laboratory Medicine Birmingham Children's Hospital Tel +44 (0)121 333 9923 From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Jonathan Kay Sent: 30 January 2013 18:45 To: [log in to unmask] Subject: "A Step Forward In The Transformation Of Pathology Services" "A Step Forward In The Transformation Of Pathology Services Notices have today been published in the Official Journal for the European Union (OJEU) advertising the three tender opportunities to provide community pathology services for the East and West Midlands. " http://www.strategicprojectseoe.co.uk/uploads/Press%20Release%20(28%20January%2013)%20v6a.pdf Jonathan ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. 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