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My solution to secondary care workload dump


The issue here is the crazy funding system. Hospitals have evolved into invoicing machines, billing like forensic accountants. The CCG's have no control over this, so instead they try to block patients from ever meeting a specialist, by blocking GP referrals, as well as internal referrals. We are all suffering! The plan? The 5y forward view push for "joined up" organisations. operating on controlled capitation budgets, rather than per item tariff. GPs have been strangled by capitation budgets for 10y, and are not jumping at the chance for managing even greater scope and demand within MCP type organisations while offering less autonomy to boot. Of course some practices are looking to merge, but usually because they realise they will lose the value of their practice buildings plus staff redundancy if they cannot recruit new GPs and then need to close down their business. They are simply desperate and choosing safety in numbers. The rest are watching anxiously.

Posted date

21 Nov 2016

Posted time