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PCTs curb GP prescribing freedom

PCTs impose stringent prescribing controls, but can GP commissioners solve the problem? Tom Moberly...The drive to control NHS costs has led many PCTs to 'blacklist' drugs recommended by NICE, a GP investigation has found. GPs do not see blanket bans as an appropriate way of cutting costs. But as drug ... , GPs can face financial penalties or heavy scrutiny if they fail to follow PCT prescribing advice ...

Consortia must not hold GP contracts

GPs want assurances they will not be expelled from consortia or lose their contracts when...The survey, of 262 GPs, found 65 per cent do not think consortia should be able to expel practices ... Paper consultation. The GPC believes consortia should not hold GP contracts, and the NHS Alliance ... . Sixty per cent of the GP respondents to our survey agree with the White Paper vision ...

Can hospitals equal GP drug savings?

As GPs face ever-greater pressure to contain prescribing costs, a stark contrast is emerging...care, a trend that looks set to continue. GPs have faced up to the challenge of rising drug costs ... to 3.4% in 2010. In addition, the DH has published comprehensive data on prescribing by every GP ... and the zealous scrutiny of GP prescribing 'has been a long-standing issue'. 'GPs have their house in order ...

Exclusive: Hospitals fail to match GP drug savings

are decades behind those in primary care, a GP investigation has found....trusts in England responded to GP's request for information. Some trusts claimed implementing such benchmarking would be impossible or pointless. Manchester GP Dr Anita Sharma, a member of Oldham medicines ... -effective prescribing efforts begun in primary care years ago. 'This is a process GPs have been through for the past ...

GPs told to cut 'specials' use in DoH crackdown

GPs will be told to cut inappropriate prescribing of costly made-to-order drugs as part of DoH...lists on practice IT systems give GPs the chance to consider a different treatment approach, he said ...

News analysis: What the squeeze on GP prescribing means for the NHS

As the NHS struggles with a burdensome efficiency drive, GPs are increasingly concerned about how...targets. Click here to see QIPP comparators Signal to GPs GP revealed last year that PCTs were 'blacklisting' drugs approved by NICE - barring GPs from prescribing them - to cut costs ... antidepressants, to antibiotics, to dressings (see box below). Latest prescribing advice for GPs ...

Editorial: Patient trust in GPs is the key in drug rationing

Last week, the national media finally caught up with GP newspaper's September exclusive that NICE...Last week GP also revealed exclusively that PCTs were threatening to use a clause in the GMS contract to impose fines on practices with low generic prescribing rates. So it would seem GPs ... ) would like (although it's conceivable that it could be consortia holding GPs and practices to account ...

Chris Lancelot: GPs are being forced into unethical dilemmas

practices which don't hit a 74 per cent target for simvastatin prescribing (GP, 5 November)....The original purpose of Annex 8 was to enable PCTs to deal with any GP who prescribes recklessly ... against GPs who unthinkingly prescribe the more expensive statins. But the PCT isn't doing this. Instead, it will penalise every doctor who doesn't hit its arbitrary target, however carefully that GP may have considered ...

GPs' fears over nurse prescribers

GPs are still expressing concerns about the role of nurse prescribing in primary care, 10 years...GPs at an RCGP event cited concerns, such as nurses prescribing from the full formulary without sufficient knowledge or training, as well as how their competence to prescribe was assessed and by whom. One GP said her colleagues felt they were 'losing control' because they were not always aware ...

Use MIMS as an educational tool

Consistent learning throughout the GP registrar year is the key to success, says Dr Raj Thakkar...The GP registrar year is a fantastic and unique experience. By the end of the year chronic disease ... this paper and does not demonstrate efficiency as a busy GP. MIMS can be quoted in the exam as a reference ... is the key. Dr Thakkar is a GP in Wooburn Green, Buckinghamshire. He qualified as a GP in 2004 ...

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