Why doesn't that surprise me.........
On Wednesday, 22 January 2014, Roger Gardiner <[log in to unmask]>
wrote:
> That may have been the plan but (AFAIK) the backroom work to create a PBR
> (payment by results) tariff for mental health is not going as smoothly as
> they thought, and without a tariff you can't move away from a block
> contract.
>
> Roger Gardiner
>
> -----Original Message-----
> From: Geoff Schrecker <[log in to unmask] <javascript:_e({},
> 'cvml', [log in to unmask]);>>
> To: GP-UK <[log in to unmask] <javascript:_e({}, 'cvml',
> [log in to unmask]);>>
> Sent: Wed, 22 Jan 2014 18:06
> Subject: Re: Finding psychiatric care
>
> From 1st April mental health services are open to choice
> (apparently)...........
>
>
> On 22 January 2014 17:59, Andy Lee <[log in to unmask]> wrote:
>
> Roger's response illustrates that different areas have been dealing with
> this in varying ways to date. Some have already allowed flexibility but
> clearly not all and his comments are correct, though not for much longer.
>
> From:
> http://www.chooseandbook.nhs.uk/staff/communications/fact/mentalhealth.pdf
> "Currently people who need Mental Health services are not able to make the
> same choices about their care and treatment as those who use other health
> services. However, from 1st April 2014 patients referred to a consultant or
> specialist as an outpatient for Mental Health services will be able to
> choose any provider in England that offers that service as outlined in the
> Department of Health 2013/2014 Choice Framework."
>
> A topical matter in fact, as highlighted in Monday's Independent.
>
> http://www.independent.co.uk/voices/comment/nick-cleggs-attack-on-nhs-mental-health-care-fighting-talk-will-only-get-us-so-far-9072928.html
>
> ------------------------------
> *From:* Roger Gardiner <[log in to unmask]>
> *To:* [log in to unmask]
> *Sent:* Wednesday, 22 January 2014, 17:38
>
> *Subject:* Re: Finding psychiatric care
>
> The patient choice requirement on commissioners doesn't apply to
> community services. So it could be refused.
>
> You could apply to the 'IFP' (Individual funding panel') as a special case
> for out-of-area care but you'd do that yourself with a GP's supporting
> letter; the GP wouldn't necessarily (and usually doesn't) initiate that.
>
> Roger Gardiner
> -----Original Message-----
> From: Andy Lee <[log in to unmask]>
> To: GP-UK <[log in to unmask]>
> Sent: Wed, 22 Jan 2014 16:54
> Subject: Re: Finding psychiatric care
>
> The response, as reported, from his GP is unlikely to be correct.
> Referral to an out of area NHS service would not be able to be prevented by
> a local commissioning policy. I have come across MH providers who are
> resistant to accepting out of area referrals because they operate a
> community-based model and consider that they can't provide that service to
> someone living out of area but then it w
>
>
--
https://twitter.com/GeoffSchrecker
