If the want to restrict medication on the NHS,all they need to do is find the political courage to extend Ken Clarke's limited list (SLS) ! It's not that painful is it?
Surely telling anyone whether a patient has been seen or not without their consent is a breach of confidentiality whatever the time period. Let them send letters to evey patient every 5 years so that it is nondescriminatory! I guess they might decide the cost benefit balance goes the wrong way!
Forget about FREE at the point of need! Whatever happenned to AVAILABLE at the point of need?
The NDA is farcical! To achieve all 9 (or 8) processes people who have never smoked and are rightly regarded as recorded non smokers by QoF need to be recorded again every 12 months. QoF may be too lax but manipulating data like this for the NDA is a total waste of clinical time and has a large opportunity cost. People in this group are also more likely to achieve the other indicators than those whose continue to smoke. Down go the outcome figures!
If CCG's are really going to be distinguishable from their predecessors it must be that clinicians leading them find the courage to say "No" to their apparent bosses! The major running sore in NHS management culture is the knee jerk response to "Jump!" "How high and how far, sir?" If our new clinical leaders do not find the courage to risk their career prospects in NHS management for the sake of the populations they serve, it will be emperor's new clothes all round or a return to "Animal Farm"! We need a major culture change in the aftermath of Mid Staffs, gagging clauses and reports of senior leaders intimidating their juniors, or we will never achieve anything different.
What is this about? Its about ensuring that people who use services appropriately are not disadvantaged by those whose usage rate needs to be managed down to levels appropriate to their condition. Anybody who is assessed as needing a GP contact within 1 hour needs an emergency service response. Those who need a response within 2-4 hours are prime GP and primary care clients. What people need and what they want are not usually closely related
Whoever heard of Nice turkeys voting for Christmas? Please quote some evidence when you repeat deliberately selective soundbites.