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I hate the annual consultation with the DN so put it off and put it off - then recently got a ticking off for not getting the blood test and making the appointment - ahhh, I thought, they DO care after all, but no, the reason they keep chasing me up is because they get fined if they don't see me.
They receive a payment (capitation) for each patient on the books, whether they see the patient ever, or not. (I didnt see a Dr from 1988 to 2001)
They also receive additional annual sums for certain chronic conditions, Diabetes is one of those. In order to receive the (additional) payment they must meet some conditions [Tick boxes] If have not worked out what it is yet, but know that they will try to shift me to once a year if they can as they don't get paid any more to test my bloods more frequently.
For asthma they receive a fee in exchange for an annual review. They write a letter inviting the patient to make an appointment, if there is no response they will write twice more. That is evidence enough to receive the payment.
I am happy with what I get, as I know I can book an HbA1c whenever I want (within reason) as the left hand doesn't know what the right hand is doing