GP boundaries to go

[Dorothy Drury]

I saw this in the White paper. GP boudaries will go, so presumably they can take on patients from where they like? Where does this leave doctor dispensary boundaries?

[cartrefeira]

Doesn't alter them at all.

DDs may dispense for any patient who requests it, PROVIDED that patient lives in a rural area (technically a Controlled Locality) more than a mile as the crow flies from a pharmacy.

Goes back to Lloyd George in 1911, is slowly, slowly in England being altered to add a requirement for new surgeries that they must also be more than 1.6 km (= 1 mile) from a pharmacy.

In Scotland the rules are different, while in Wales they were an old set of rules but are just being brought up to date .

[johnep]

interesting point re new locations of dispensing Drs. In the old days, Drs dispensing practices were in the small villages, now moved into the towns and regard any chemist as a competitor.
Thus little cooperation re seven day scripts etc.
One practice refused any 7 day scripts 'because already in our global sum'.At the same time scripts in name of very elderly pts for large quantities of dressings etc, 'to be delivered to the surgery' This is in spite of the Drs receiving allowances for dressings in their global sum.
Ie pharmacists expected to provide services ex global sum, whereas the Drs make sure any thing extra paid for.
One law for a Dr, another for a pharmacist.
johnep

[Defblade]

At the same time scripts in name of very elderly pts for large quantities of dressings etc, 'to be delivered to the surgery' This is in spite of the Drs receiving allowances for dressings in their global sum.
Ie pharmacists expected to provide services ex global sum, whereas the Drs make sure any thing extra paid for.
One law for a Dr, another for a pharmacist.

Don't bother complaining about them either. NHS Counter Fraud forwarded to PCT to investigate; GP said "OK, I'll send all my patients to A&E instead"; PCT considered scheme to top slice drugs budget to supply dressings to GPs to save them doing anything illegal.

Updating NHSCF on this got a shrug, seems they'd done their "bit" forwarding to the PCT.


Who will regulate the new system? Can't be any worse than the above though....

[Suki Lalla]

I saw this in the White paper. GP boudaries will go, so presumably they can take on patients from where they like? Where does this leave doctor dispensary boundaries?

Should I really care about , about what in reality, and to be brutally frank, is an absolutely minor issue in the overall scheme of things.

[cartrefeira]

I saw this in the White paper. GP boudaries will go, so presumably they can take on patients from where they like? Where does this leave doctor dispensary boundaries?

Should I really care about , about what in reality, and to be brutally frank, is an absolutely minor issue in the overall scheme of things.

In north west Wales DDs dispense 20% of all scripts, in mid-Wales the percentage is seven higher. In 150 miles between Porthmadog and Merthyr Tydfil there are only nine pharmacies left.

Is this really unimportant?

Bob Gartside

[Suki Lalla]

and the overall % figure for wales ?

less than 5% ?