Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
EXCLUSIVE General practice could be managing as many as 50% of Type-1 diabetes patients under plans drawn up by a CCG, which would see many discharged from specialist management.
NHS Dorset CCG’s proposal for a new community diabetes schemesuggests that ‘stable’ patients with Type-1 diabetes - as many as 50% - could be discharged from secondary care management, with commissioners monitoring practices’ referrals and admissions rates.
The CCG has said that the ‘commissioning intention’ it has issued is a first step before consultation with GPs, but one practice told Pulse it was already being presented to staff as a ‘done deal’.
The GPC has said it was ‘flabbergasted’ that a service could propose such a high level of specialist management from practices without details of how GPs would be supported or funded.
http://www.pulsetoday.co.uk/news/co...tic-patients-under-ccg-plans/20032125.article
(free registration)
Already happened to me here in Hampshire - no longer see my consultant, just practice nurse. Also, reviews have gone from 6 monthly to annual. Thought the following comment was interesting/scary:
NHS Dorset CCG’s proposal for a new community diabetes schemesuggests that ‘stable’ patients with Type-1 diabetes - as many as 50% - could be discharged from secondary care management, with commissioners monitoring practices’ referrals and admissions rates.
The CCG has said that the ‘commissioning intention’ it has issued is a first step before consultation with GPs, but one practice told Pulse it was already being presented to staff as a ‘done deal’.
The GPC has said it was ‘flabbergasted’ that a service could propose such a high level of specialist management from practices without details of how GPs would be supported or funded.
http://www.pulsetoday.co.uk/news/co...tic-patients-under-ccg-plans/20032125.article
(free registration)
Already happened to me here in Hampshire - no longer see my consultant, just practice nurse. Also, reviews have gone from 6 monthly to annual. Thought the following comment was interesting/scary:
Already happening in Liverpool. However, some of those being discharged are only classifiable as "stable" in that their IFCC is persistently dreadful, not because their diabetes is well controlled! Yes, it's cheaper in the community but which part of the job can we choose to eliminate in order to look after these patients? Oh, yes.........that's right.........none