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GPs to oversee all vulnerable patients under emergency admissions DES  


Anon 8.05pm- why has this not happened? Seems so simple! 1) it is not the minors that breach the 4hrs. It is the majors who are waiting for a bed. The more minors you can see the higher your denominator and the more likely you are to hit the 4 hr target. 2) streaming lots of minors to primary care may free up a few junior drs but isn't going to help find a bed in MAU. 3) Minors are a cash cow for hospitals, why would they relinquish them when it will destabilise their finances. 4) there is commissioner / provider collusion as both want to hit 4hr target. Payment and target needs to change to reduce the payment of minors to cost price, and the target needs to be split to take account of minors and majors.

Posted date

16 Nov 2013

Posted time