This is plagiarised so please dont tell anybody....but this is the Oath that all doctors swear to as a moral hand-rail for their entire career. The Physician's Oath At the time of being admitted as a member of the medical profession:
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SOURCE Pasted from <http://en.wikipedia.org/wiki/Physician's_Oath> PLEASE READ RIGHT TO THE BOTTOM OF THE PAGE
OUTCOMES of the Dialogue on prescribing targets aired above retrospectively viewed: From: George Lees [mailto:georgelees1@live.co.uk] Sent: 18 May 2011 09:13 To: Dr X-GP-BRIGADOON Health Centre Subject: RE:
Thanks Firstname,
The electronic PMR (patient medication record) is at an advanced stage in Scotland.....information and collation of data is the key to informed refinement both in an economic- and outcomes-context. South of the border it is fragmented and they have announced this morning that they are giving up the ghost on electronic record keeping....hope you can continue to defend this and open it up to multi-disciplinary researchers/analysts to effect constructive evidence-based change. Do you share information with the Administrator (at your practice, firstname A) and the pharmacy folks on the differential costs of the top ten most expensive items and the differential costs of generic drugs....they are mobilising to reduce these costs (as long as there are no bio-equivalence issues) and with the budgetary constraints a dialogue to ensure multi-disciplinary awareness of waste seems essential but not so sure this is in place? The chronic medication service, with serial prescriptions covering 6 mo supply, looks convenient for the customer/patient but the polypharmacy review will inform GPs and pharmacists on key issues before this kicks in? So hope it all goes well on all fronts....dont want this on the heap like the trams on Princess street or the paper medical records in the South...if I can be of any help let me know?
Best Regards George
From: Dr X directly from his surgery in Brigadoon To: georgelees1@live.co.uk Date: Wed, 18 May 2011 08:41:43 +0100 Subject: RE: Same carrots on same sticks for time being, but new local carrot is review of polypharmacy in NHS EREWHON, (for patients on 12 drugs or more!!!). Wait and see. Central carrots need central negotiation via SGPC section of BMA. Regards Dr Firstname Y
From: George Lees [mailto:georgelees1@live.co.uk] Sent: 15 May 2011 23:31 To: Dr Firstname Y, Brigadoon Practice Subject:
Hi Firstname,
Did the election result make it easier to talk about pharmaco-economics and polypharmacy?
Constructive Regards G REPLY FROM DR Y and end of objective correspondence
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PLEASE LOOK AT THE PAGE ON MY REFERAL TO PSYCHIATRIC SERVICES IMMEDIATELY AFTER THIS DIALOGUE HAD ENDED by the head of BRIGADOONS school governors (trained as a GP AND a policeman....according to my sons local maths tutor) |