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Impact of the introduction of fee for service payments on types of minor surgical procedures undertaken by general practitioners: observational study

Impact of the introduction of fee for service payments on types of minor surgical procedures undertaken by general practitioners: observational study
Impact of the introduction of fee for service payments on types of minor surgical procedures undertaken by general practitioners: observational study
The 1990 general practitioners (GPs) contract introduced item of service payment for minor surgery, payable for six categories of procedure. Early review showed no substitution of cheaper procedures for more expensive treatments. Detailed payment data from six Health Authorities for the period 1993–2000 show an 11 per cent increase in claims, largely accounted for by the rise in cautery, incorporating cryotherapy. Cryotherapy is no more effective at treating warts than cheap commercially available products, but is quite profitable for GPs. This is yet another example of item of service payment distorting treatment priorities. The new GP contract, and the initiative to develop GPs with special interests in dermatology and minor surgery, will allow primary care trusts to develop minor surgery undertaken by appropriately skilled and experienced GPs, and which reflects the needs of the population.
1741-3842
264-267
Pockney, Pete
0c3d029f-c7e4-4672-be0a-b7309aea6ba7
Primrose, John
d85f3b28-24c6-475f-955b-ec457a3f9185
Kinley, Helen
004ceec1-b7e6-4ae4-8221-0ccc811e4bd8
George, Steve
bdfc752b-f67e-4490-8dc0-99bfaeb046ca
Lattimer, Val
5aa2c9a5-13cb-4776-9b0d-c618e6913f5b
Smith, Helen
e9ebdc59-6964-49b5-a2cd-b76d58ab77e1
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Lowy, Adam
c3d3b568-5ae8-4728-b8ab-96e07c11af36
Kneebone, Roger
a7da8ca7-30d6-4afe-960c-f221500733c1
Pockney, Pete
0c3d029f-c7e4-4672-be0a-b7309aea6ba7
Primrose, John
d85f3b28-24c6-475f-955b-ec457a3f9185
Kinley, Helen
004ceec1-b7e6-4ae4-8221-0ccc811e4bd8
George, Steve
bdfc752b-f67e-4490-8dc0-99bfaeb046ca
Lattimer, Val
5aa2c9a5-13cb-4776-9b0d-c618e6913f5b
Smith, Helen
e9ebdc59-6964-49b5-a2cd-b76d58ab77e1
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Lowy, Adam
c3d3b568-5ae8-4728-b8ab-96e07c11af36
Kneebone, Roger
a7da8ca7-30d6-4afe-960c-f221500733c1

Pockney, Pete, Primrose, John, Kinley, Helen, George, Steve, Lattimer, Val, Smith, Helen, Little, Paul, Lowy, Adam and Kneebone, Roger (2004) Impact of the introduction of fee for service payments on types of minor surgical procedures undertaken by general practitioners: observational study. Journal of Public Health, 26 (3), 264-267. (doi:10.1093/pubmed/fdh152).

Record type: Article

Abstract

The 1990 general practitioners (GPs) contract introduced item of service payment for minor surgery, payable for six categories of procedure. Early review showed no substitution of cheaper procedures for more expensive treatments. Detailed payment data from six Health Authorities for the period 1993–2000 show an 11 per cent increase in claims, largely accounted for by the rise in cautery, incorporating cryotherapy. Cryotherapy is no more effective at treating warts than cheap commercially available products, but is quite profitable for GPs. This is yet another example of item of service payment distorting treatment priorities. The new GP contract, and the initiative to develop GPs with special interests in dermatology and minor surgery, will allow primary care trusts to develop minor surgery undertaken by appropriately skilled and experienced GPs, and which reflects the needs of the population.

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Published date: September 2004

Identifiers

Local EPrints ID: 26530
URI: http://eprints.soton.ac.uk/id/eprint/26530
ISSN: 1741-3842
PURE UUID: deae1027-53c5-4b47-b1fd-b8bb1bd15d57
ORCID for John Primrose: ORCID iD orcid.org/0000-0002-2069-7605

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Date deposited: 24 Apr 2006
Last modified: 09 Jan 2022 02:46

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Contributors

Author: Pete Pockney
Author: John Primrose ORCID iD
Author: Helen Kinley
Author: Steve George
Author: Val Lattimer
Author: Helen Smith
Author: Paul Little
Author: Adam Lowy
Author: Roger Kneebone

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