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Gold, incentives and meh

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Headline

Oh Lord – why Darzi is missing the point

Comment

Even though he denied being a politician, behaving like a politician is enough for Simon Stevens and Jeremy Hunt to pick him as the ‘reformer’. It is a big reluctance for a Tory prime minister to declare possible tax rise to fund NHS on its 70th birthday . Hence , she wants to exploit as much political brownie points from this as possible. Linking the ‘Brexit dividends’ with this funding is duplicitous and strategic for her ‘no deal’ Brexit model.The fact that Tories don’t like general practice in its current form , is clearly pointing to a super/mega practice model: (1) Practice of at least 50,000 patients in size will be the only social norm (2) All GPs will be salaried : pay them £80,000 for 9 or even 10 sessions a week . GPs were too expensive ; there were too many part time GPs and locum cost too much. Let’s standardise the salary nationally and send GP partners to extinction. (3) Working by scale for seven day GP opening . Otherwise , use nurses or physician assistants to provide weekend appointments (4) Face to face consultations are too ‘expensive’ . Replace them with smartphone apps and electronic consultations. Bye bye Continuity of Care. (5) Thanks to section 75 in Health and Social Care Act(which the Tory will never repeal) , if these super/mega-practices run into financial troubles , an open procurement is always there ready for private companies to bid with their lives(lessons of Capita and Carillion are never to be learnt. Greed is always there; ‘’Greed is good .Greed works’’.) There will be no GMS contract anymore and APMS contract will earn a new name/label. Beware when the PM said that every penny must be well spent . The narrative will be spinning in such a fashion that only getting GPs even harder and ‘differently’ will justify this tax rise to fund NHS and only then every penny will be really well spent. Sadly history repeats again and again , highly educated and prestigious scholars and/or scientists were used by deceitful politicians to achieve hidden agendas . In their mind , they consciously believe they had found the solution to solve some real world dilemma, without the realisation that they had never left the top floor of the famous ivory tower..........

Posted date

20 Jun 2018

Posted time

9:09pm

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