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Gold, incentives and meh

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Small practices must not be the collateral damage of reform


Call me a conspiracy theorist: (1) Small practices are to be starved to extinction if they do not comply with grouping together . (2) The GP networking is the preliminary step towards forming mega- and super-practices . The currently formed networks are to compete against each other in a region for a relatively small amount of funding thrown out by NHSE:Cash chucked onto the middle of a motorway.The stronger networks win . (3) Winner takes it all : eventually the stronger networks take over the smaller ones as the latter will cease to survive. The strongest networks then take over the stronger networks. (4) The dream of 20-30 super-practices in the whole country will be fulfilled, as long as this government continues to starve the overall funding for general practice. (5) Still remember the Trilemma Theory: integration , sovereignty and democracy; you can only have two out of three but never all three together .

Posted date

01 Aug 2018

Posted time