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Gold, incentives and meh

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Headline

GP practices to be stress-tested before being allowed onto new contract

Comment

I can envisage individual clinicians being penalised by the 'group' for ordering too many costly investigations / referring too many patients / prescribing costly medication / trying not to take on patients with costly chronic conditions (cancer, renal failure, patients receiving continuing care funding, all transplants, life long birth related learning difficulties...) The most costly problems were excluded in fund holding days - the budget for these was held centrally by the NHS. I presume there will be no NHS tariff. So there will be a downwards pressure on incomes, apart from those at board level, who will get any profit, if there is any. On reading the draft contract it implied that social services could be included as well! Even if a profit was made the DoH would still fail to uplift the budget(s), putting the finger screws on the groups for ever more productivity - the constant drive to balance the economy being the driving force There is no prospect of GDP rising and demand for care will continue to rise......does not sound like an industry I would want to join if starting out now

Posted date

17 Dec 2016

Posted time

10:56am

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