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Gold, incentives and meh

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Ahmad - great job! I'll add - Scrap the formula - it was made to favour big practices and has lead to ridiculous situations where a Practice 'called a village practice' but located in the heart of a city is given rural payments and reimbursements of rent up to 189k per year !! - Where two Practices with a difference of patient list size in the same Medway towns can be given 200k more per year for having only 200 more patients than a Practice nearby, -Where the government pays 125 pounds for a patient's care if he registers with one Practice while only 91 if the patient is registered in another a mile away. -Where a big Practice with twice the standard list size is paid 270 pounds per point while the Practice with a list size of 4000 is paid only 65 pounds - this does not take into account that the big Practice has enough global sum to afford more doctors and that the workload/patients per doctor are the same for a small and for a big Practice. NHS officials and Managers who have failed in one job should categorically be ruled out of management positions for other NHS managerial positions. Else you have this farce of a Chief exec or Med Director from a failed hospital or Trust being transferred to another area and given a similar role or even a promotion. Finally - politicians need to do some soul searching and decide what they want to do instead of groping for ideas that will take them over the Elections and churning out yarns even a kid would rub his eyes at in amazement. If privatization is the agenda; go ahead and do it - don't beat around the bush and do things by the backdoor. Put a payment per visit service boldly and you will get the support you need from the Primary care providers. Please be honest about your intentions

Posted date

10 Mar 2015

Posted time