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Gold, incentives and meh

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GPs asked to prescribe drugs and chase test results for secondary care inpatients


There's also a systems problem. For instance, if you see NHS patients (through 'choose and book') at a private hospital, you have no choice but to ask the GP to prescribe. The private hospitals can't do NHS scripts. Seems rather stupid to me. Another issue is drug budgets, secondary providers want as much as possible of the drug cost to come out of primary care budget. In relation to referrals, for a long time we actively told NOT to refer directly to other departments other than for red flag symptoms. The rationale being that the primary care may not wish for the patient to be referred and they're the purchasers! In relation to blood tests and ultrasounds, partients often prefer these tests done closer to home and ask for them. Indeed many GPs prefer that community diagnostic services are used in preference to hospital ones (often because they're running them). Bottom line is that this is a very complex issue. To make out that secondary colleagues treat their primary care colleagues as some sort of subservient service does both group a great disservice. I personally believe that this is primarily a systems issue and many of the systems are deliberately structured to shift work into primary care. The fact that resources haven't followed is down to short-sighted policies in the DOH.

Posted date

15 Feb 2019

Posted time