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Practices to provide warfarin clinics under CCG agreement

A CCG-GP ‘partnership’ agreement in Barnsley will fund GPs for visiting elderly or housebound patients at home to conduct medicines reviews and discuss end-of-life care, and increase the number of procedures that can be delivered by practices.

The Practice Delivery Agreement, launched by Barnsley CCG today, will see practices increasingly delivering outpatient services like warfarin clinics and benign prostate cancer treatments in the surgery – either through shared premises arrangements or new training.

The scheme is hoping to attract and, crucially, retain GPs to the area through a new GP Fellowship scheme and greater promotion of continuous learning and training of clinical skills.

Each GP practice will also appoint a fully-trained safeguarding lead.

Dr Nick Balac, chair of the CCG, said: ‘The PDA is totally unique and a culture changer.’

‘The PDA also encourages practices to work more closely together, sharing skill sets and even on occasion, premises – such as with anti-coagulation work.’

‘The PDA is all about investing in and delivering sustainable improved quality of and access to out-of-hospital care through a well-trained, better-resourced workforce. I am delighted that all our GP practices have signed up to it so enthusiastically.’

Readers' comments (7)

  • Pharmacists can do warfarin clinics. Make them work for that dispensing fee.

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  • "Pharmacists can do warfarin clinics"
    If they are paid/ contracted to do so. It is not part of their dispensing fee.

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  • "Anonymous | Junior doctor | 09 April 2015 8:26pm

    Pharmacists can do warfarin clinics. Make them work for that dispensing fee."

    Its this kind of mentality that leads to CCGs and the DoH thinking that GP subcontractors can absorb any additional workload for free.

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  • This isn't new - I know localities that's been doing this for over 6 years from PCT days!

    Why is this a news?

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  • We are one of the few practices that doesn't have an inhouse Warfarin clinic in my area. The payments no longer really cover the actual work, never mind the masses of training that is required on a regular basis.

    Given the clinical risk involved as well, I'd be careful about doing this without a proper mechanism to be paid appropriately, year after year.

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  • Yes in dorset we do bloods and get hospital to ring patient on dosing
    Our CCG say poole undercuts any bid from a gp
    Poor patients. W here free phlebotomy is not offered as in many practices

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  • in an ideal system the prescriber would do the dosing/monitoring.
    In our area the monitoring is done via the local trust because the resources from the PCT were inadequate for us to take over the whole system. We have seen dreadful mission creep from other areas where a monitoring of stabilised AF patients has morphed into providing all anticoagulant services, both acute and chronic. all for the original money.
    We need to be able to say no, or yes if properly resourced. And we need to be able to hand work back if the resources are withdrawn or become inadequate.
    Circle were allowed to do it with Hinchinbroke

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