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PbR Tariff released

About a week ago the price list for operations in the Health Service was finally released. I have not managed to review it as yet, but is seems substantially lower than the previous one.

This implies deficits in the Hospitals.

The big issue at the moment is to find out at the end of the Financial Year (next Friday) when the "music stops" what the real NHS deficits are.

One problem is that Organisation A may claim that Organisation B owes it £20 Million, but Organisation B denies that. This means that A counts the money and B doesn't. Overall whichever way it ends up there is a net deficit of £20 Million. This will not be clear until after the end of the Financial year when all these discrepancies are reconciled.

The response of the government in topslicing (and the West Midlands could be as high as 5%) shows that they are aware that there is a bigger problem than they are admitting.

A national average topslice of 3% would imply £1,929,270,000 being placed into reserve to cover deficits.

We shall see.

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R v SUSSEX JUSTICES ex p McCARTHY [1924] 1 KB 256

November 9 1923

Editor’s comments in bold.

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