john ashcroft
Recent activity
Comments (14)
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Comment on: Analysis: patients in poorer regions using A&E over GP
10years of PCTs who had a job to develop primary care and reduce health inequalities and patients in the LEAST DEPRIVED DECILE have 36% more GP time than the MOST DEPRIVED DECILE. And people are wondering why patients go to A+E??? Its where the money and resource has gone so patients follow.
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Comment on: Payment by results moves to 'bundled' contracts
PBR hasnt worked, and shows no prospect of working. Sooner we get back to block contracts the better
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Comment on: Health inequalities scheme flagging as GPs shun 'charity work'
Its Gordon Browns Fault... he wanted headlines and announced this on the radio in January 08. Roger Boyle didnt even know. Roger had been steering risk assessment through NICE, and NICE had brought out there interim guidance and were going to announce there full guidance in May.... That guidance says use the information on GPs systems ... smoking, BP etc to "pre-screen" the list. This information helps identify patients at risk much more efficiently. QoF is probably the best data base on patients in the world and gathered and maintained at large expense. A great resource that is ignored as the DoH still pander to the whims of a priminister, even though he has gone... bizarre. Risk assesment is important, but yet again the DoH have got it wrong.
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Comment on: Sliding admissions contributed to Southern Cross crisis
Its a shame as Southern Cross homes in our area appear to be some of the best run homes. I suspect that what we will see is a pressure to use the homes that deliver the lowest costs and the emphasis on quality will become no more than lip service.
