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Gold, incentives and meh

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Headline

CCG faces deficit of £29m

Comment

The difficulties are partly that NHS comissioning historically " rewards failure"- when money was plentiful additional cash handouts went to those who fail. We have a similar position in an adjacent CCG where a poorly structured and run secondary care service is a continual bleed on the finances. There is no incentive to be "lean" when the more you do the more you earn and poor performance earns an additinal cash bailout. This of course only works for large units like secondary care," fail" as a GP practice and the system is happy to let you close. "too big to faill" - the route of the financial crisis and now mirrored across 100's of foundation trust secondary care proviodrs in the NHS. Hospitals do have to bear the risk of population changes between national census- and we all know that "the poll tax" meant the NHS dealt with a lot of people who " did not exist" in terms of payments. So much so that one local area had all its GP's investigated for fraud in the late 1990's reason two hundred thousand registered patients vs the seventy thousand on a census return- and it went quiet when 99.1 % of GP registrations had a unique body attaqched to it in the audit. If there has been a large scale migration to this area from abroad you can bet the same "more physical bodies than the statistics permit" applies. Bring back the universal NHS registration card to be produced to show entitlement to free services

Posted date

24 Dec 2014

Posted time

3:36pm

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