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Post by Totheleft on Jan 17, 2024 20:34:20 GMT
Would that be the 2004 contact achieved what it wanted to do. April 2004, the new contract is intended to attract more doctors into general practice through better pay and improved conditions. The NHS is expected to benefit by linking GPs’ pay to their clinical performance and by improved accessibility to services through more flexible working.1 The NHS has realised some but not of all the benefits from the new contract. Over the first three years, the contract cost £1.8 billion more than originally expected because the Department underestimated the cost of delivering services such as out-of-hours care. The level of GP performance, as measured by the Quality and Outcomes Framework, also exceeded estimates and led to additional expenditure. The Department believes the cost of the contract is now under closer control and that by the end of 2008 it will have recovered any overspend. The Department has succeeded in increasing the number of GPs working in the NHS above the target it set itself: more than 4,000 additional GPs from March 2003, an increase of 15%. It has also been successful in introducing a pay for performance system which has increased the consistency of care for long term conditions. The new contract has helped increase the breadth of services provided in primary care, but has had less success in improving access to primary care, particularly in more deprived areas. Can't see anywhere it can't be changed. GP partners have benefited most from the new contract, with an average pay increase of 58% and decreased working hours. Other staff, such as practice nurses and salaried GPs, have had only small pay rises despite taking on a larger proportion of the workload in general practice. GP productivity has actually decreased, on average, by 2.5% per year in the first two years of the contract. Primary Care Trusts have lacked the capacity and capability to commission local services effectively and have not used the contract in a way that fully realises its benefits. They have spent more than they were allocated, but failed to use the contract to provide more convenient opening hours and more general practice services in deprived areas. The Department has now issued central directions to Primary Care Trusts to tackle these issues. publications.parliament.uk/pa/cm200708/cmselect/cmpubacc/463/463.pdfYea that's accounting for the first 2 yrs this Article is the Conclusion in 2008n. That says a increase of doctors since 2004 and out of hours work |
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Post by Bentley on Jan 17, 2024 20:36:27 GMT
GP partners have benefited most from the new contract, with an average pay increase of 58% and decreased working hours. Other staff, such as practice nurses and salaried GPs, have had only small pay rises despite taking on a larger proportion of the workload in general practice. GP productivity has actually decreased, on average, by 2.5% per year in the first two years of the contract. Primary Care Trusts have lacked the capacity and capability to commission local services effectively and have not used the contract in a way that fully realises its benefits. They have spent more than they were allocated, but failed to use the contract to provide more convenient opening hours and more general practice services in deprived areas. The Department has now issued central directions to Primary Care Trusts to tackle these issues. publications.parliament.uk/pa/cm200708/cmselect/cmpubacc/463/463.pdfYea that's accounting for the first 2 yrs this Article is the Conclusion in 2008n. That says a increase of doctors since 2004 and out of hours work Read the rest of it. Not just the bit you cut and pasted . 3 Getting more out of the new contract 21. The new contract has not yet delivered all the benefits that the Department expected it to achieve.42 In particular, the contract has been less successful in redirecting funds to areas with the greatest need and has had mixed success in incentivising improved access to general practice services. Whilst recruitment of GPs in deprived areas has improved, it is still worse when compared to more affluent areas.43 The average expenditure on general practice care in relation to need is lower in some of the most deprived areas of the country (Figure 6). For many patients, the contract actually led to a decrease in GP provision through the removal of the GP’s responsibility for out-of-hours care, loss of Saturday surgeries and reducing the times that a patient can make an appointment.44 22. The new contract successfully increased the types of services that are available in general practice, but has not yet led to the development of as many new services as the Department had expected. Many of the new services reflect national directions, rather than services responding to specific local needs. In 2006–07, 71% of Primary Care Trusts did not spend their allocation for locally enhanced services. These allocations were expected to be the minimum level that a Trust would spend on enhanced services.45 23. One of the key objectives of the new contract was to increase access to GP services but efforts to improve access have been mixed. The contract allows Primary Care Trusts to increase provision of GP care by negotiating locally with GPs to extend hours using local enhanced services payments, or to commission new general practice services through competitive tendering. These options have not been used effectively by Primary Care Trusts in commissioning services to address local need.46 24. As part of the new contract, the Department negotiated a national enhanced service to incentivise GPs to offer appointments to patients within 48 hours. Currently, 90% of patients are seen within this target. However, this has also had a perverse effect for patients, as GPs reduced the amount of appointments that were available to be booked in advance. The Department has now allocated some of the points available under the Quality and Outcome Framework to measure patient satisfaction against this access target. In addition, the inconvenience of not being able to see a doctor in the evening or at weekends has been highlighted as an issue in patient surveys.47 The Department has responded to patients’ concerns about being unable to see a doctor in the evening and at weekends by issuing a national directive to extend opening hours using directed enhanced services.48 |
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Post by Montegriffo on Jan 17, 2024 20:37:57 GMT
LOL that was fecking brilliant red, by the way it is the biggest con by the cons going. ... meanwhile back in the UK our homegrown UK homeless make do with cardboard boxes, so those self-build bamboo huts would be like luxury to them, but of course not up to the standard our foreign illegal migrants 'DEMAND'. Is that because Cruella took their tents away? |
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Post by Fairsociety on Jan 17, 2024 20:39:38 GMT
... meanwhile back in the UK our homegrown UK homeless make do with cardboard boxes, so those self-build bamboo huts would be like luxury to them, but of course not up to the standard our foreign illegal migrants 'DEMAND'. Is that because Cruella took their tents away? since when have cardboard boxes being 'tents'? |
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Post by Totheleft on Jan 17, 2024 20:46:52 GMT
Yea that's accounting for the first 2 yrs this Article is the Conclusion in 2008n. That says a increase of doctors since 2004 and out of hours work Read the rest of it. Not just the bit you cut and pasted . 3 Getting more out of the new contract 21. The new contract has not yet delivered all the benefits that the Department expected it to achieve.42 In particular, the contract has been less successful in redirecting funds to areas with the greatest need and has had mixed success in incentivising improved access to general practice services. Whilst recruitment of GPs in deprived areas has improved, it is still worse when compared to more affluent areas.43 The average expenditure on general practice care in relation to need is lower in some of the most deprived areas of the country (Figure 6). For many patients, the contract actually led to a decrease in GP provision through the removal of the GP’s responsibility for out-of-hours care, loss of Saturday surgeries and reducing the times that a patient can make an appointment.44 22. The new contract successfully increased the types of services that are available in general practice, but has not yet led to the development of as many new services as the Department had expected. Many of the new services reflect national directions, rather than services responding to specific local needs. In 2006–07, 71% of Primary Care Trusts did not spend their allocation for locally enhanced services. These allocations were expected to be the minimum level that a Trust would spend on enhanced services.45 23. One of the key objectives of the new contract was to increase access to GP services but efforts to improve access have been mixed. The contract allows Primary Care Trusts to increase provision of GP care by negotiating locally with GPs to extend hours using local enhanced services payments, or to commission new general practice services through competitive tendering. These options have not been used effectively by Primary Care Trusts in commissioning services to address local need.46 24. As part of the new contract, the Department negotiated a national enhanced service to incentivise GPs to offer appointments to patients within 48 hours. Currently, 90% of patients are seen within this target. However, this has also had a perverse effect for patients, as GPs reduced the amount of appointments that were available to be booked in advance. The Department has now allocated some of the points available under the Quality and Outcome Framework to measure patient satisfaction against this access target. In addition, the inconvenience of not being able to see a doctor in the evening or at weekends has been highlighted as an issue in patient surveys.47 The Department has responded to patients’ concerns about being unable to see a doctor in the evening and at weekends by issuing a national directive to extend opening hours using directed enhanced services.48 you seemed not to read the final conclusion at the end The Department has now allocated some of the points available under the Quality and Outcome Framework to measure patient satisfaction against this access target. In addition, the inconvenience of not being able to see a doctor in the evening or at weekends has been highlighted as an issue in patient surveys.47 The Department has responded to patients’ concerns about being unable to see a doctor in the evening and at weekends by issuing a national directive to extend opening hours using directed enhanced services.48 |
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Post by Montegriffo on Jan 17, 2024 20:48:48 GMT
Is that because Cruella took their tents away? since when have cardboard boxes been 'tents'? Since Cruella took their tents away? |
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Post by Fairsociety on Jan 17, 2024 20:52:05 GMT
since when have cardboard boxes been 'tents'? Since Cruella took their tents away? tents definition
What is tent slang for?
It's a euphemism for getting an erection whilst in bed, presumably in amorous expectation. The erection represents the tent pole and the tent itself is represented by the sheets/bedclothes
Ok, since when has 'sheets/bedclothes' been 'cardboard'?
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Post by Bentley on Jan 17, 2024 20:52:47 GMT
Read the rest of it. Not just the bit you cut and pasted . 3 Getting more out of the new contract 21. The new contract has not yet delivered all the benefits that the Department expected it to achieve.42 In particular, the contract has been less successful in redirecting funds to areas with the greatest need and has had mixed success in incentivising improved access to general practice services. Whilst recruitment of GPs in deprived areas has improved, it is still worse when compared to more affluent areas.43 The average expenditure on general practice care in relation to need is lower in some of the most deprived areas of the country (Figure 6). For many patients, the contract actually led to a decrease in GP provision through the removal of the GP’s responsibility for out-of-hours care, loss of Saturday surgeries and reducing the times that a patient can make an appointment.44 22. The new contract successfully increased the types of services that are available in general practice, but has not yet led to the development of as many new services as the Department had expected. Many of the new services reflect national directions, rather than services responding to specific local needs. In 2006–07, 71% of Primary Care Trusts did not spend their allocation for locally enhanced services. These allocations were expected to be the minimum level that a Trust would spend on enhanced services.45 23. One of the key objectives of the new contract was to increase access to GP services but efforts to improve access have been mixed. The contract allows Primary Care Trusts to increase provision of GP care by negotiating locally with GPs to extend hours using local enhanced services payments, or to commission new general practice services through competitive tendering. These options have not been used effectively by Primary Care Trusts in commissioning services to address local need.46 24. As part of the new contract, the Department negotiated a national enhanced service to incentivise GPs to offer appointments to patients within 48 hours. Currently, 90% of patients are seen within this target. However, this has also had a perverse effect for patients, as GPs reduced the amount of appointments that were available to be booked in advance. The Department has now allocated some of the points available under the Quality and Outcome Framework to measure patient satisfaction against this access target. In addition, the inconvenience of not being able to see a doctor in the evening or at weekends has been highlighted as an issue in patient surveys.47 The Department has responded to patients’ concerns about being unable to see a doctor in the evening and at weekends by issuing a national directive to extend opening hours using directed enhanced services.48 you seemed not to read the final conclusion at the end The Department has now allocated some of the points available under the Quality and Outcome Framework to measure patient satisfaction against this access target. In addition, the inconvenience of not being able to see a doctor in the evening or at weekends has been highlighted as an issue in patient surveys.47 The Department has responded to patients’ concerns about being unable to see a doctor in the evening and at weekends by issuing a national directive to extend opening hours using directed enhanced services.48 lol. They issued a directive . They haven’t solved it . Maybe if you added a link to your cut and paste posts then others can read the bits you didn’t understand. |
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Post by Totheleft on Jan 17, 2024 21:08:00 GMT
you seemed not to read the final conclusion at the end The Department has now allocated some of the points available under the Quality and Outcome Framework to measure patient satisfaction against this access target. In addition, the inconvenience of not being able to see a doctor in the evening or at weekends has been highlighted as an issue in patient surveys.47 The Department has responded to patients’ concerns about being unable to see a doctor in the evening and at weekends by issuing a national directive to extend opening hours using directed enhanced services.48 lol. They issued a directive . They haven’t solved it . Maybe if you added a link to your cut and paste posts then others can read the bits you didn’t understand. I understand everything perfectly well That comment proven my other post. What do you mean by directive that hasn't solved it . |
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Post by Montegriffo on Jan 17, 2024 21:08:21 GMT
Watching Jess Phillips in the HOC debate on the Rwanda bill.
She is killing it. I hope she gets a position in high office when Labour win the GE.
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Post by Bentley on Jan 17, 2024 21:10:28 GMT
lol. They issued a directive . They haven’t solved it . Maybe if you added a link to your cut and paste posts then others can read the bits you didn’t understand. I understand everything perfectly well That comment proven my other post. What do you mean by directive that hasn't solved it . Jeez . You don’t even read the stuff you cut and paste . No wonder you never put a link in. |
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Post by andrewbrown on Jan 17, 2024 21:13:05 GMT
Watching Jess Phillips in the HOC debate on the Rwanda bill. She is killing it. I hope she gets a position in high office when Labour win the GE. I went to see her in an event during the Coventry City of Culture. She's a brilliant speaker. Just wish she wasn't a Brummoi. |
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Post by andrewbrown on Jan 17, 2024 21:17:21 GMT
Division! Clear the lobby...
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Post by Montegriffo on Jan 17, 2024 21:23:06 GMT
Watching Jess Phillips in the HOC debate on the Rwanda bill. She is killing it. I hope she gets a position in high office when Labour win the GE. I went to see her in an event during the Coventry City of Culture. She's a brilliant speaker. Just wish she wasn't a Brummoi. She'd make a better PM than the current leader. She's got a bit of charisma which Starmer is clearly lacking. She's got a good sense of humour too as shown by her appearances on Have I Got News For You. I'd like to see her as Home Secretary. |
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Post by Fairsociety on Jan 17, 2024 21:26:22 GMT
Watching Jess Phillips in the HOC debate on the Rwanda bill. She is killing it. I hope she gets a position in high office when Labour win the GE. Yep Wonderful Double Standard Lefty hypocrite .......LOL
Labour MP Jess Phillips comes under fire for breaking rules over declaring outside earnings
Jess Phillips breached MPs Code of conduct with 17 out of 32 late declarations
£16,572 payment from Simon and Schuster for a book was logged 39 days late
She forgot to register her £1,500 fee for appearing on Have I got News For You
The standards commissioner said ‘there was no deliberate attempt to mislead’
hahahahahahahah
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