tag:blogger.com,1999:blog-25200961.post6181491644656834639..comments2024-03-14T09:50:40.819+00:00Comments on Dr Grumble: ChangeDr Grumblehttp://www.blogger.com/profile/04417731064007601504noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-25200961.post-70189368299958990062010-04-02T23:34:25.854+01:002010-04-02T23:34:25.854+01:00I was there at the start of the Fund Holding New A...I was there at the start of the Fund Holding New Age wonder time and one of our local FH GP group referred so many that they were getting all their varicose veins done before any of the non-FH GPs can get serious surgical or whatever conditions dealt with.<br /><br />Guess what: they could not pay and owed our Trust nearly 2 million. They sent in the bailiffs.<br /><br />It was just so unfair to the others.<br /><br />The problem is that many in the current set-up know that their days are numbered and their contracts have great lawyers writing them that the severance packages will cost a lot.<br /><br />Imagine doing an internal market thing in a family and Darren and Sharon decided to buy their meals at the neighbours and the mother charges father for services.<br /><br />Nah.<br /><br /><a href="http://cockroachcatcher.blogspot.com" rel="nofollow">The Cockroach Catcher</a>Cockroach Catcherhttps://www.blogger.com/profile/14440000294855006966noreply@blogger.comtag:blogger.com,1999:blog-25200961.post-56657817877050209562010-04-01T20:18:14.144+01:002010-04-01T20:18:14.144+01:00I agree with Dr Aust - this has more than a whiff ...I agree with Dr Aust - this has more than a whiff of American managed care organisations about it - but my money is on the date. If this isn't an April Fool, then Dr No will eat his left hand. Control wires and all.Dr Nohttp://www.badmed.netnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-45181146325509805042010-04-01T20:05:50.675+01:002010-04-01T20:05:50.675+01:00"Doctors will be in charge."
I doubt th..."Doctors will be in charge."<br /><br />I doubt that very much. Managers, with little or no clinical knowledge, will be in charge. It will be a disaster.Old Codgernoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-32929818019549783832010-04-01T13:55:42.916+01:002010-04-01T13:55:42.916+01:00I can't tell whether you're joking or not,...I can't tell whether you're joking or not, Dr G. Of course, this sounds in some ways not dissimilar to the <a href="http://en.wikipedia.org/wiki/Kaiser_Permanente" rel="nofollow">Kaiser Permanente</a> system that they have in California, which we know both NuLab and the Tories have been interested in.<br /><br />[I hear California is now <a href="http://articles.sfgate.com/2010-02-22/news/17950763_1_bankruptcy-treasurer-bill-lockyer-golden-state" rel="nofollow">bankrupt.</a> Hmmm...]<br /><br />On balance I think this is both your 1st April wind-up and a prescient warning about how we might get "sold" HMO type insurance-based care by the back door. If we hear that something like this is really happening post-election then we will know the NHS is as dead as Monty Python's parrotDr Austhttp://draust.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-76054398632962450362010-04-01T09:00:34.940+01:002010-04-01T09:00:34.940+01:00I hope this is an April Fool's Joke!I hope this is an April Fool's Joke!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-6553171355634650072010-04-01T08:59:25.753+01:002010-04-01T08:59:25.753+01:00I've put up with a lot of crap in the past 5 y...I've put up with a lot of crap in the past 5 years as a GP, but if this comes in, it's bye bye to the UK from me!<br /><br />Foundation trusts are a seriously bad idea and a big step into wholesale privatisation of healthcare.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-25200961.post-83011502842421654392010-04-01T08:48:37.067+01:002010-04-01T08:48:37.067+01:00I think it would be a disaster, sounding the death...I think it would be a disaster, sounding the death of General Practice in this country. A quick route to a salaried service which patients will almost inevitably find less satisfactory than the current system. Thre will be little continuity of care (which is not the same as continuiuty of record as some would tell us).<br /><br />It would not be doctors running the show, but management, with their own or the DH agenda firmly in prime position.<br /><br />Financial balance would remain the name-of-the-game.<br /><br />It is dangerous as a concept.Dr Russell Brownhttps://www.blogger.com/profile/00406043714226331927noreply@blogger.com