One Million to lose NHS Dentistry
The local SHA are talking about 95% signup rather than the 90% nationally. It remains, however, that many are signing up "in dispute" rather than accepting the contract.
The situation continues.
In the mean time the PbR tariff is turning out to have hidden traps. I have been looking at what happened with the Czech Republic's reforms. It looks that we may end up with a form of "melt down" with over 50% of NHS organisations in effective deficit by about period 6.
Predicting the year-end deficit is difficult for the first few months and only starts becoming reliable after about period 5.
Still whatever happens does not look good although with a bit of luck Eastern Birmingham will not suffer that much. Indeed if the DoH show good sense in going for 3 PCTs in Birmingham rather than 1 then we could come out relatively well.
In Staffordshire where they are merging 6 PCTs into 1 (probably) there will be chaos. (There already is quite a bit of chaos).See my NHS Jobwatch for a summary
Patricia Hewitt finished off MG Rover and now is going hard at the NHS.