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Does anyone know?

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cherrypie

Well-Known Member
Relationship to Diabetes
Type 2
I have read recently and it was mentioned in the File4 programme that G.P.'s are paid ?2,000 for a diabetic patient on their books.
Does this the money is pooled between all diabetics?
Does it mean that the money is exclusively for that patient?
Does it mean that if you exhaust your ?2.000 that money has to come from another fund?
Does this mean that the money is also used for any ailments or conditions that person has that are not diabetic related?

I have no axe to grind about this, I have an excellent G.P. who always has my welfare at heart but have heard rumblings that people are upset that they are being refused test strips and tests and think they should get their money's worth. How do they know their costings?
It would be interesting to see a breakdown of my cost and I am sure that the admin side of things must come into it as well?
 
I not know where that figure came from, but am instinctively wary of it (given the accuracy of most D reporting)

I understand that GPs do get an 'allowance' for diabetics on their books, and extra I think if they see them for annual review. I've also heard of payment for Statins which may, or may not be connected to patients achieving a given Cholesterol target (depending on who is talking about it).
 
The payment for acheivement of set targets is real. No idea how much or the structure of payments but assumed they just got a 'budget' and had to spend it wisely. Never really thought about it as a costing per head per ailment.

Not sure if I'm good value for money or not.🙄

Rob
 
I'm worth it !!....now where have I heard that before ?? 🙄
 
Interesting Cherry pie.
I am the chairperson of my surgery's PRG (patient representative group) so that is something I would like to bring up at our next meeting and definitely worth asking.

I am lucky to be part of a good surgery but unfortunately there are surgeries around that are not so good and do refuse strips to patients saying, "well if your on Metformin you don't need to test"
 
I think it is more likely to be reaching targets, including BP, cholesterol, weight(if appropriate) and HBA1c. and not a payment for your care.
If someone was grossly overweight and a diabetic and needed a knee replacement then that wouldn't leave much money would it? Same if they were given bariatric surgery.
It wouldn't explain the cost of a pump for a Type1 either. Their money would soon be swallowed up.
It was badly reported I think and some have decided that they know what they want to get their money's worth.
Thanks for the input folks. I get an idea in my head and need the answers yesterday as usual. :D
 
Interesting, nowhere can I find a suggestion that each diabetic gets a pot of ?2000
outline of how GPs are paid.
http://www.nhshistory.net/gppay.pdf
They do get a per capita allowance for each patient which averaged ?56.2 in 2008,
There are targets that trigger a payment, if achieved in a certain percentage of patients. (It was suggested in the file on 4 programme that these targets were a bit soft (ie too few had to achieve them to trigger the payment)

Dr Briffa throws a bit of light on the subject by describing how much could be earned by the practice in 2009, if 50% of patients achieved the HbA1c target:

"From April 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 ($4250). 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"

http://www.drbriffa.com/2009/03/13/...regarding-diabetes-doing-more-harm-than-good/

This describes the various targets for diabetes:
http://www.patient.co.uk/doctor/Managing-Diabetes-In-General-Practice.htm
 
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Insulin pumps and the consumables for their use don't come out of the GP's budget Cherrypie - they are paid directly to the pump company by the PCT where you live.

If my prescriptions had to be paid for out of ?56 even prior to 2009, then no doctor could have afforded to have me on his books.
 
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