GP incentives; Walk-in CT scans; Hot Flushes feedback; New anti-coagulants
Inside Health
BBC
4.4 • 575 Ratings
🗓️ 28 October 2014
⏱️ 29 minutes
🧾️ Download transcript
Summary
Financial incentives for GPs - do they work? Mark Porter learns there are parallels between the latest £55 to diagnose dementia and an incentive to diagnose depression which didn't work and was dropped. Are walk-in CT Scans a good idea - two experts who authored recent reports address concerns about people arranging their own scans. Hot Flushes feedback; plus the new generation of anti-coagulants offering an alternative to warfarin.
Transcript
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| 0:00.0 | Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat and being very quickly knocked down. And there'll be so much more with comedians like Olga Koch, Mike Mosniak and Ria Elena. I'm excited. You're dead to me, the comedy podcast that takes history seriously. Listen first on BBC Sounds. Hello, I'm Dr Mark Porter and thank you for downloading this edition of Inside Health. |
| 0:37.8 | I hope you enjoy it. |
| 0:39.1 | Coming up today, CT scans, is it a good idea for people to arrange their own |
| 0:44.8 | to try and pick up cancers and heart problems before symptoms develop? |
| 0:49.3 | Two leading experts concerned about the risks coming up later. |
| 0:53.3 | H.R.T, our recent item on tackling hot flushes, |
| 0:57.0 | prompted a flurry of emails, |
| 0:58.5 | and Professor Marianne Lumsden is back to answer your queries, |
| 1:02.0 | including one about hot flushes in men. |
| 1:05.1 | And anticoagulants, I'll be learning more about the latest alternatives |
| 1:08.4 | to the market leader, Warfarin. |
| 1:12.6 | But first, financial incentives for doctors. The announcement that GPs in England will be paid £55 a time for |
| 1:18.6 | diagnosing people with dementia prompted quite a reaction last week. The move didn't seem to be too |
| 1:24.2 | popular with anyone, including GPs, but it's not the first time doctors |
| 1:28.7 | have been offered such incentives. Martin Rowland is Professor of Health Services Research at the University |
| 1:34.1 | of Cambridge. Well, in fact, they've been used in the NHS for a long time. Back to 1990, |
| 1:38.6 | when GPs were first given extra payments for meeting targets for getting cervical smears done |
| 1:43.8 | and for getting immunizations for children done. |
| 1:46.5 | But then there was a very big change about 10 years ago when they were given a large additional payment for meeting a wide range of quality targets for diseases like diabetes and high blood pressure and asthma. |
| 1:58.0 | What do we know about how well they work? |
| 2:02.2 | Well, they work to a degree, |
| 2:06.4 | but they don't work quite as well as a lot of people would like them to work, and they can sometimes go wrong. For example, relating to the treatment of depression. Now, at the time it was known that |
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