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Pulse 2018 review: Cash incentives targeted at GPs who cut referrals


Reading this article raises a number of alarm bells. Firstly, and the one the government, medical directors and regulators bang on about.....PATIENT SAFETY!!! Part of the problem with this, is the micro-managing approach to trying to reduce NHS expenditure. While the GP training curriculum and examinations have become more detailed and extensive, the question arises as to whether this has translated into better care? I would welcome statistics from my general practitioner colleagues on this area. A significant bulk of general practice work is related to chronic disease management. As a hospital doctor I can state that this is something GPs do very well, provided they follow guidelines. The question arises then, is what exactly are the GPs referring? Also which practices are referring more? If they are referring more, is that influenced by other factors such as patient education level, economic deprivation etc. The list is long when looking at factors that influence the referrals. Having established that, is there an evidence based approach where they can be managed more cost effectively? Also has the dumbing down of Public Health coincided with problems in the management system? I would be interested to see if this approach has led to more harm to patient care? If this does occur, is this due to lack of knowledge and expertise of the GP?

Posted date

30 Dec 2018

Posted time