Posted:
#26
NHS
Hospital doctors, specialists, consultants etc are all NHS employees and paid monthly by NHS.
Family doctors are unique, they work in the NHS, but are not employees. They are self employed, independent contractors, they individually as single handed practitioners or as partnerships ( a group practice), contract with the NHS to provide medical services. So they are thier own boses unlike thier hospital colleagues.
They receive payments for the services they provide.
As a family doctor you recieve from the NHS that you have contracted to work for a sum, based upon the capitation count, that is the number of patients you will have on your list. Each familt doctor cares for about 2000 patients. That sum the basic practice allowance provides enougth money to cover employing staff, nurses,receptionists,secretary etc. It covers building costs.
If you rent your medical centre, the NHS reiburses your rent,rates etc. If you new build a centre, you find a loan youself and the NHS effectively pays your monthly mortgage payments. This is better for the NHS . Whereas the NHS owns the hospitals,these are crown property. Thier are some small number of private hospitals.
The rest of a Family doctors payments come from services provided. The more services you provide the more payments you receive. Separate payments for, childhood vaccinations,travel vaccination, maternity ante natal care, paediatric care, contraceptive servises, minor surgery etc.
The NHS is all about prevention. Keep people out of hospital. Hospital patients cost a mint. 60% of hospital beds are taken up by smoking and alcohol related diseases.
Family doctors are the gateway for medical care in NHS, people see thier Family doctor, who treats or refers to hospital specialist. They cant see a specialist without seeing thier family doctor first. Even if they go outside the NHS to the private sector, they would still need thier family doctors referral. Ethically a specialist will not see onless referred by Family doctor.
The rest of our income from the NHS is for preventive services. We earn points and paid according to points scored.
For example a patient comes in with a medical complait, then you not only deal with the presenting condition but you move onto prevention. You will ask about smoking habit and if neccassary prescibe gum or tablets or refer for councelling. Points collected for asking, points collected for treating or referring. Points for taking blood pressure and points for keeping it below set levels. Points scored to level of cholestrol lowering. Points scored for prescribing aspirin in coronary artery disease. Points for using an ACE inhibitor in heart disease. Points not scored for using drugs outside of the guidelines.
The points system encourages quality care, it encourages doctors to prescribe those treatments recommended by the NICE guidelines.
NHS prevention is better than cure and cost effective.
Hospital doctors, specialists, consultants etc are all NHS employees and paid monthly by NHS.
Family doctors are unique, they work in the NHS, but are not employees. They are self employed, independent contractors, they individually as single handed practitioners or as partnerships ( a group practice), contract with the NHS to provide medical services. So they are thier own boses unlike thier hospital colleagues.
They receive payments for the services they provide.
As a family doctor you recieve from the NHS that you have contracted to work for a sum, based upon the capitation count, that is the number of patients you will have on your list. Each familt doctor cares for about 2000 patients. That sum the basic practice allowance provides enougth money to cover employing staff, nurses,receptionists,secretary etc. It covers building costs.
If you rent your medical centre, the NHS reiburses your rent,rates etc. If you new build a centre, you find a loan youself and the NHS effectively pays your monthly mortgage payments. This is better for the NHS . Whereas the NHS owns the hospitals,these are crown property. Thier are some small number of private hospitals.
The rest of a Family doctors payments come from services provided. The more services you provide the more payments you receive. Separate payments for, childhood vaccinations,travel vaccination, maternity ante natal care, paediatric care, contraceptive servises, minor surgery etc.
The NHS is all about prevention. Keep people out of hospital. Hospital patients cost a mint. 60% of hospital beds are taken up by smoking and alcohol related diseases.
Family doctors are the gateway for medical care in NHS, people see thier Family doctor, who treats or refers to hospital specialist. They cant see a specialist without seeing thier family doctor first. Even if they go outside the NHS to the private sector, they would still need thier family doctors referral. Ethically a specialist will not see onless referred by Family doctor.
The rest of our income from the NHS is for preventive services. We earn points and paid according to points scored.
For example a patient comes in with a medical complait, then you not only deal with the presenting condition but you move onto prevention. You will ask about smoking habit and if neccassary prescibe gum or tablets or refer for councelling. Points collected for asking, points collected for treating or referring. Points for taking blood pressure and points for keeping it below set levels. Points scored to level of cholestrol lowering. Points scored for prescribing aspirin in coronary artery disease. Points for using an ACE inhibitor in heart disease. Points not scored for using drugs outside of the guidelines.
The points system encourages quality care, it encourages doctors to prescribe those treatments recommended by the NICE guidelines.
NHS prevention is better than cure and cost effective.
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