catherinecherub said:I think the money allocated to G.P.'s for patients goes into one big pot. If all yours was not spent on you but some of it went to fund a person with multiple health needs would you object? If M r. X had terminal cancer and needed expensive drugs or Mrs Y needed a heart transplant or Miss Z needed specialist input for mental health problems would you feel that this was not fair? If these people were your nearest and dearest you would want the best care available for them I am sure. The NHS is underfunded and there is not much any of us can do about that.
How would you like a Personal Healthcare Budget and this makes it clear how much money is available for your care and you decide how it is spent?
Pilot schemes of this method have been ongoing and in October these will be evaluated to see if they are a viable alternative. Interesting that some people on the pilot scheme are using them in a fraudulent way.
http://www.onmedica.com/viewsarticle.as ... 235839c370
http://www.onmedica.com/newsarticle.asp ... e835adcd74
catherinecherub said:I think the money allocated to G.P.'s for patients goes into one big pot. If all yours was not spent on you but some of it went to fund a person with multiple health needs would you object? If M r. X had terminal cancer and needed expensive drugs or Mrs Y needed a heart transplant or Miss Z needed specialist input for mental health problems would you feel that this was not fair? If these people were your nearest and dearest you would want the best care available for them I am sure. The NHS is underfunded and there is not much any of us can do about that.
How would you like a Personal Healthcare Budget and this makes it clear how much money is available for your care and you decide how it is spent?
Pilot schemes of this method have been ongoing and in October these will be evaluated to see if they are a viable alternative. Interesting that some people on the pilot scheme are using them in a fraudulent way.
http://www.onmedica.com/viewsarticle.as ... 235839c370
http://www.onmedica.com/newsarticle.asp ... e835adcd74
judes46 said:I have read somewhere on Diabetes.co.uk that every new person who is confirmed with Diabetes, that their doctors practise get £2.000 a year, so hmmm !!!!
ladybird64 said:catherinecherub said:I think the money allocated to G.P.'s for patients goes into one big pot. If all yours was not spent on you but some of it went to fund a person with multiple health needs would you object? If M r. X had terminal cancer and needed expensive drugs or Mrs Y needed a heart transplant or Miss Z needed specialist input for mental health problems would you feel that this was not fair? If these people were your nearest and dearest you would want the best care available for them I am sure. The NHS is underfunded and there is not much any of us can do about that.
How would you like a Personal Healthcare Budget and this makes it clear how much money is available for your care and you decide how it is spent?
Pilot schemes of this method have been ongoing and in October these will be evaluated to see if they are a viable alternative. Interesting that some people on the pilot scheme are using them in a fraudulent way.
http://www.onmedica.com/viewsarticle.as ... 235839c370
http://www.onmedica.com/newsarticle.asp ... e835adcd74
Unfortunately Catherine, you know as well as I do that this isn't really a convincing argument. If people feel ill and are not getting the level of care that enables them to feel well and to carry out their daily life as normal then they are not going to be thinking about someone who has multiple health needs, they will think about themselves and the money that they personally have paid into the NHS to provide for that care. Just as there are many diabetics who don't don't do the best for their health, there are plenty of others too. Those with cancer/heart disease who continue to smoke, those with liver problems that continue to drink, do we not feel entitled to get the proper care of we are trying to keep ourselves well?
Let's be honest, those that don't give a **** about their diabetes and their overall health would not be attending the GP or complaining about a lack of services would they?
I know it is a difficult situation and to a point I agree with you but think we cannot go down the comparison route of those worse off than ourselves..too much of a grey area.
We could also talk of those who haven't paid anything into the NHS because they haven't lived here that long..should they and their heath take priority over somebody who has paid NI all their lives?
Like I said..complicated but too many are getting at best, a poor service, if any at all. Just look at the intro pages on this forum.
So, it makes sense then keeping blood sugar levels in check should help to prevent the complications of diabetes. So important is this deemed to be, that the UK government gives general practitioners (GPs) money to ‘incentivise’ them to assist their patients in achieving relatively tight control over their blood sugar levels. From April [2009] of this year, if GPs can get half of their type 2 diabetic patients to have a HbA1c level (this is a measure of blood sugar control over the preceding 3 months or so) of less than 7 per cent, then the practice gets an additional payment of £3000. Prior to this, the target set by the government was 7.5 per cent. Clearly, the government feels that when it comes to HbA1c levels, lower is better.
catherinecherub said:quote]
I really did not think I was creating an argument. :crazy:
I am sure on other forums for cancer/heart disease/mental health/obscure genetic conditions, to name a few, people there feel equally incensed about what they perceive as lack of care. The NHS is struggling to survive, nobody wants to pay higher taxes, we are living longer, not always in the best of health.
Even if the money that G.P.'s receive for Diabetes Care is kept for diabetes use only, there are always going to be some poor souls who need more care than others. Kidney disease, heart disease peripheral neuropathy, autonomic neuropathy, retinal complications are all things that are happening all the time to established diabetics. It is sad that newly diagnosed are not getting a good level of care in some places, this postcode lottery that we all talk about, and there is nothing that I personally can do about it. It will have repercussions because it will create more complications. Type2 diabetes is on the increase daily and I really believe that nobody in the NHS was prepared for it. Unless the NHS gets a massive cash injection IMHO it will slowly go under. We all want the best care but how do you propose we can ration it? Shall we plough more into diabetes care at the expense of another illness/chronic condition?
As for whether somebody has paid enough N.I. contributions, that is not something I would like to see. The NHS is there for all and we cannot do a selection process of who should and should not receive care. How about the people who have paid in all their adult life? Should they be entitled to a refund if they have not had to use the NHS to the extent that others have to?
You did not mention how you feel about a Personal Healthcare Budget I mentioned in my post? Perhaps that will be the way forward.
catherinecherub wrote:
I think the money allocated to G.P.'s for patients goes into one big pot. If all yours was not spent on you but some of it went to fund a person with multiple health needs would you object? If M r. X had terminal cancer and needed expensive drugs or Mrs Y needed a heart transplant or Miss Z needed specialist input for mental health problems would you feel that this was not fair? If these people were your nearest and dearest you would want the best care available for them I am sure. The NHS is underfunded and there is not much any of us can do about that.
catherinecherub said:You might like to read this document that explains what your G.P. is paid for
better than me. We don't all have £2000 in a little box at the surgery that he takes money from when you get your HBA1c test but he is paid on overall performance.
You can find your surgery, see what he is awarded for diabetes care last year and even make comments if you are not happy with what you see
http://www.qof.ic.nhs.uk/