But they do have a point in trying to encourage some competition! If the contracts simply go to buggins because its his turn we won't get any improvement, nothwithstanding WCC (or is that out the window now?)
I don't think the BMA will have such an easy ride as before - Rumour has it they couldn't believe their luck when offered the last deal!
Agree fully with Anon 3.42PM - If these elective procedures aren't enough to prevent the PCT overspending, what is next to be stopped? And of course, because of the funding structure of the NHS we will end up with expensive real estate, equipment and professionals idle. Delaying I can understand, but stopping?
One would have thought that it was not beyond the wit of man to have begun to set up GP consortia and "sold" them a ready made admin function to look after the entirety of the consortia requirements. Of course what will happen is that staff will be made redundant and then rehired (at considerable unnecessary trauma and state expense) into their erstwhile jobs!
Dear Joe Bloggs - I've no doubt they'll be concerned about the all the regulatory framework but they only need to employ administrators accountable to their board to carry out the tasks and relieve them of the "doing" - Regards
When the BMA negotiated with the DoH over the Out of Hours contribution and the main contract they couldn't believe their luck - The work of a GP is now more structured in respect of what they have to deliver but no more arduous than a GP in the 1990's and the increase in salary has been exponiential.
How incorrect Anon at 0703PM?
Before PbR, HRG costs, tariff prices etc, if budgets were being overspent the Health Authority simply slammed on the brakes and activity was seriously reduced - result; financial balance and increased waiting lists. It seems today that we are trying to make a monolithic soviet style system behave as if it were an efficient and rational business (which it isn't). And as for cash allocation, that also needs to be rational rather than weighted towards "deprived" areas - this bias (RAWP et al) obviously hasn't worked else there would not be such a large gap in life expectancy as was recently evidenced.
We need to change the NHS to a more european model of state cum insurance funding - it may not be perfect but at least patients get their cancer drugs!
And so Brown's profligacy which rewarded those who have no intention of working, and empowered the state to spray other peoples' taxes about with gay abandon now seeks to recoup the debt by taxing those who supplied the funds inthe first place - I don't think so!