DoH enforcing inverse care law with diabetes
The National Institute for Clinical Excellence has its critics, but few GPs would question its objective of ending the inequalities in provision of medical treatment of proven value. The new national service framework for diabetes suggests the Department of Health may have done a U-turn on this issue.
GPs are concerned about lack of funding for the framework. By 2013, when its targets are expected to have been met, the prevalence of diabetes in the UK may have doubled. And some areas will be hit harder than others as there are much higher rates of diabetes in certain ethnic groups, often concentrated in inner-city areas.
If no extra funding is allocated, PCOs in areas where the need is greatest are going to struggle to provide resources for diabetes care without cutting corners elsewhere in their budgets.
This is a blatant example of the inverse care law in action, and is very undesirable indeed.