Deprived areas bias won't hit the spot
So, we are to have even further bias towards areas of health deprivation.
Okay, but has nobody twigged that PCT surpluses are concentrated in areas of high deprivation due to lower uptake - so will these surpluses be allowed to grow?
Bias to areas of higher deprivation implies less cash for areas of lower deprivation - where, surprise, surprise, all the deficits have occurred.
We, in a lower-deprivation area, have had to scrimp and save. The PCT has cut referrals and PBC hasn't happened as the PCT has been focused on reducing pressure from the SHA over the size of the deficit.
Why not let surpluses be used to offset deficits in any one year? Such a mechanism is needed if half the country is not to remain in limbo.
Nick Bentley, practice manager, North Yorkshire