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BMA considering 'all legal options' to challenge GP at Hand rollout


For BMA - the answer if fairly simple. You just need to renegotiate the balance of capitation payments to make things more even. That does not need to cost the government money and does not need and legal action. At the moment, if you asked people from a purely selfish, business sense, would you make more money if you swapped 1000 patients 85+ for 2000 patients aged 18-25 - then most people would go for the swap. If you said 1000 85+ for 10000 18-25, most people would say no. If you find where the tipping point is (where the split is 50/50) then that should be the difference between the capitation of a 20 year old and an 88 year old. I personally think it is something like 5:1 - which means reducing capitation for 20 year olds to 30 pounds and increasing capitation for 80 year olds to 150 pounds (or something similar based on keeping the costs equal). You can do a similar thing based on medical history (particularly mental health). Thus ends GP at hand picking the 'high value' patients.

Posted date

29 Jan 2018

Posted time