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.
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.
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