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Rheumatology Service and the PCT Options
smith-j
#1 Posted : Tuesday, July 13, 2010 7:25:48 PM Quote
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Joined: 12/3/2009
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I live in Shropshire where there is a very good orthopaedic hospital, The Robert Jones and Agnes Hunt Hospital in Oswestry. However, this is over 30 miles away from where I live in Telford. Up until recently the RA service in Telford has been very hit and miss and they borrow staff from Oswestry. They have recently appointed a new RA Consultant for Telford and things are improving. I had a phone call from my RA team on Monday to say that they are moving our of our local hospital, the Princess Royal, and the PCT have taken over a building and refurbed it just around the corner from where I work. They want to improve the RA service in our area and offer a base for all the clinical staff we will need to see. Wonderful news.

Then I heard on the news that they are getting rid of most PCT's and handing it over to GP's. Bad news. I know I am only one of two patients in my practice who has RA and my GP's have no knowledge of RA. I am telling them about anti-tnf's etc and how my Rheumy team are going to treat me. When I went for advice on what anti-tnf to take, all they could tell me was how much it cost.

I feel that RA patients will be very low down on the list when they are considering funding. After all said and done, they are going to look after the majority of their patients rather than the minority. I am gutted as, although I have only been diagnosed with this disease for 18 months, I can see how patients with RA are struggling to gain the treatment they deserve. The PCT had put together a wonderful committee to improve our RA service. Now what is going to happen?

I only hope I am proved wrong.

Jackie
xx
jeanb
#2 Posted : Tuesday, July 13, 2010 7:31:51 PM Quote
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Location: Timperley
Hi Jackie

How I agree with everything you are saying. I really do find it all very unnerving, especially as some of our PCT's do an excellent job for rheummy patients.

Maybe now is the time to ask your surgery if they have a patients forum? If so, ask if one can be started. It's very beneficial at our place. My GP is by no means an expert in rheummy matters but is always more than willing to do some research and get back to us. I have been down twice to speak to them about RA and the GP's have all attended.

Take care

Jeanxx
dorat
#3 Posted : Tuesday, July 13, 2010 9:33:04 PM Quote
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Location: Huddersfield
The consultants will still be prescribing the anti-tnfs so it really shouldn't be any different, and I would hope that, since the GPs are the ones paying for it ,they might just take a bit more interest in the drugs and find out a bit more about them!
At least we will be rid of all the overpaid "managers" who know nothing at all about medicine.

Doreen xx
lyn2
#4 Posted : Wednesday, July 14, 2010 2:41:37 PM Quote
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Joined: 12/10/2009
Posts: 653
Location: Notts
This must be very worrying for you, wondering how the service is going to shape up in the future. We've just started a forum at our practice, and I'm on the panel. I'm hoping to ask if they can explain to us exactly what this means for our Practice. As far as I know, we don't have a PCT in our area, it's run by an organisation called Principia, not sure what the difference is, or how we'll be affected in the future.

Lyn
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