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	<title>Comments on: Trouble with money?</title>
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	<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/</link>
	<description>When only straight answers will do - Medical &#38; Informatics information and opinions</description>
	<pubDate>Tue, 06 Jan 2009 03:07:12 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.6</generator>
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		<title>By: FrontPoint Systems Ltd &#187; Blog Archive &#187; Some interventions are better than others</title>
		<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/#comment-8331</link>
		<dc:creator>FrontPoint Systems Ltd &#187; Blog Archive &#187; Some interventions are better than others</dc:creator>
		<pubDate>Thu, 26 Apr 2007 08:49:04 +0000</pubDate>
		<guid isPermaLink="false">http://frontpointsystems.co.uk/weblog/2007/04/20/trouble/#comment-8331</guid>
		<description>[...] after the repudiated HSJ list of trusts under threat covered here, the DoH has released its own list of trust in a shaky financial position. The 13 trusts that could [...]</description>
		<content:encoded><![CDATA[<p>[...] after the repudiated HSJ list of trusts under threat covered here, the DoH has released its own list of trust in a shaky financial position. The 13 trusts that could [...]</p>
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		<title>By: fps</title>
		<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/#comment-8256</link>
		<dc:creator>fps</dc:creator>
		<pubDate>Mon, 23 Apr 2007 10:50:36 +0000</pubDate>
		<guid isPermaLink="false">http://frontpointsystems.co.uk/weblog/2007/04/20/trouble/#comment-8256</guid>
		<description>agog - The fact that they were going to be able to over-perform on the proposed contract did not stop GP's warning the government that they were underestimating the costs of providing a comparable service. 
But the desire of the DoH to gain control over the service exceeded their willingness to listen to GP's, in the same way that they tried to dictate consultant working hours not realising that most already worked far more than contracted for.

By the way, you will now be able to edit new comments within a few mins of posting.</description>
		<content:encoded><![CDATA[<p>agog - The fact that they were going to be able to over-perform on the proposed contract did not stop GP&#8217;s warning the government that they were underestimating the costs of providing a comparable service.<br />
But the desire of the DoH to gain control over the service exceeded their willingness to listen to GP&#8217;s, in the same way that they tried to dictate consultant working hours not realising that most already worked far more than contracted for.</p>
<p>By the way, you will now be able to edit new comments within a few mins of posting.</p>
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		<title>By: agog</title>
		<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/#comment-8255</link>
		<dc:creator>agog</dc:creator>
		<pubDate>Mon, 23 Apr 2007 10:38:00 +0000</pubDate>
		<guid isPermaLink="false">http://frontpointsystems.co.uk/weblog/2007/04/20/trouble/#comment-8255</guid>
		<description>It does seem to be a shambles.    I must confess to being confused about the politics of all this "change."   I thought I read somewhere that the GPs were very pleased about their income enhancement offset by the relatively cheap offer to opt out of out-of-hours work?</description>
		<content:encoded><![CDATA[<p>It does seem to be a shambles.    I must confess to being confused about the politics of all this &#8220;change.&#8221;   I thought I read somewhere that the GPs were very pleased about their income enhancement offset by the relatively cheap offer to opt out of out-of-hours work?</p>
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		<title>By: FrontPoint Systems Ltd &#187; Blog Archive &#187; International healthcare empire?</title>
		<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/#comment-8243</link>
		<dc:creator>FrontPoint Systems Ltd &#187; Blog Archive &#187; International healthcare empire?</dc:creator>
		<pubDate>Sun, 22 Apr 2007 18:02:34 +0000</pubDate>
		<guid isPermaLink="false">http://frontpointsystems.co.uk/weblog/2007/04/20/trouble/#comment-8243</guid>
		<description>[...] there is a reason why the govt wants to ban all consultations on healthcare reconfiguration proposals other than those with a substantial impact. They wouldn&#8217;t then have [...]</description>
		<content:encoded><![CDATA[<p>[...] there is a reason why the govt wants to ban all consultations on healthcare reconfiguration proposals other than those with a substantial impact. They wouldn&#8217;t then have [...]</p>
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		<title>By: garth</title>
		<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/#comment-8229</link>
		<dc:creator>garth</dc:creator>
		<pubDate>Fri, 20 Apr 2007 20:50:53 +0000</pubDate>
		<guid isPermaLink="false">http://frontpointsystems.co.uk/weblog/2007/04/20/trouble/#comment-8229</guid>
		<description>agog, 
The NHS isn't strugglin because doctors are overpriced!
The DoH didn't realise the work consultants actually did, hence underestimated the hours they actually worked, this more has been spent.

This money is small change compared to money going on schemes like NPfIT, choose and book, ISTCs, wasted money on PFIs, PBC, CFISSA etc.

Do not be tricked by this spin, all the wasted cash is going on creating an internal market and rail roading through privatisation,

garth</description>
		<content:encoded><![CDATA[<p>agog,<br />
The NHS isn&#8217;t strugglin because doctors are overpriced!<br />
The DoH didn&#8217;t realise the work consultants actually did, hence underestimated the hours they actually worked, this more has been spent.</p>
<p>This money is small change compared to money going on schemes like NPfIT, choose and book, ISTCs, wasted money on PFIs, PBC, CFISSA etc.</p>
<p>Do not be tricked by this spin, all the wasted cash is going on creating an internal market and rail roading through privatisation,</p>
<p>garth</p>
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		<title>By: agog</title>
		<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/#comment-8227</link>
		<dc:creator>agog</dc:creator>
		<pubDate>Fri, 20 Apr 2007 19:40:58 +0000</pubDate>
		<guid isPermaLink="false">http://frontpointsystems.co.uk/weblog/2007/04/20/trouble/#comment-8227</guid>
		<description>Sorry.  The last comment went off into the blogosphere before I had finished/changed it - never mind.</description>
		<content:encoded><![CDATA[<p>Sorry.  The last comment went off into the blogosphere before I had finished/changed it - never mind.</p>
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		<title>By: agog</title>
		<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/#comment-8226</link>
		<dc:creator>agog</dc:creator>
		<pubDate>Fri, 20 Apr 2007 19:39:07 +0000</pubDate>
		<guid isPermaLink="false">http://frontpointsystems.co.uk/weblog/2007/04/20/trouble/#comment-8226</guid>
		<description>Sorry to have to disagree, but the health system IS a business and yours is being mucked about by government lackeys who seem to have no idea about what they are doing (even if, to be charitable, they mean well) and is in chaos.    Pricing is a very basic business decision and it seems that the NHS is struggling because a poor decision was made and docs are overpriced - so there's not enough dosh to go round.  Why are you all complaining about that?  Bad news for the health consumers whose taxes and various charges pay for this mayhem.   As they say, there are no free lunches - and no free health services.</description>
		<content:encoded><![CDATA[<p>Sorry to have to disagree, but the health system IS a business and yours is being mucked about by government lackeys who seem to have no idea about what they are doing (even if, to be charitable, they mean well) and is in chaos.    Pricing is a very basic business decision and it seems that the NHS is struggling because a poor decision was made and docs are overpriced - so there&#8217;s not enough dosh to go round.  Why are you all complaining about that?  Bad news for the health consumers whose taxes and various charges pay for this mayhem.   As they say, there are no free lunches - and no free health services.</p>
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		<title>By: fps</title>
		<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/#comment-8223</link>
		<dc:creator>fps</dc:creator>
		<pubDate>Fri, 20 Apr 2007 15:55:45 +0000</pubDate>
		<guid isPermaLink="false">http://frontpointsystems.co.uk/weblog/2007/04/20/trouble/#comment-8223</guid>
		<description>Thanks.

You don't do too badly yourself :-)

With regards to the DoH, if they do constitute an independent board, the only way that it will work is if there is a genuinely wide spectrum of ideas with representation from all philosophies of care taken into account before a decision is made. 

Both the die-hard proponents of change &#038; dyed-in-the- wool traditionalists with every other view-point in between need to have their voices heard.</description>
		<content:encoded><![CDATA[<p>Thanks.</p>
<p>You don&#8217;t do too badly yourself <img src='http://frontpointsystems.co.uk/wordpress/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
<p>With regards to the DoH, if they do constitute an independent board, the only way that it will work is if there is a genuinely wide spectrum of ideas with representation from all philosophies of care taken into account before a decision is made. </p>
<p>Both the die-hard proponents of change &#038; dyed-in-the- wool traditionalists with every other view-point in between need to have their voices heard.</p>
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		<title>By: garth</title>
		<link>http://frontpointsystems.co.uk/weblog/2007/04/20/trouble-with-money/#comment-8222</link>
		<dc:creator>garth</dc:creator>
		<pubDate>Fri, 20 Apr 2007 15:38:14 +0000</pubDate>
		<guid isPermaLink="false">http://frontpointsystems.co.uk/weblog/2007/04/20/trouble/#comment-8222</guid>
		<description>I don't think one hand does know what the other is doing,

the DoH are beyond a joke,

great blogging by the way.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t think one hand does know what the other is doing,</p>
<p>the DoH are beyond a joke,</p>
<p>great blogging by the way.</p>
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