ࡱ> 241 bjbj .hhJJ  }$uj""7  ǿV."M0}(""}J S:  OPTIONS REGARDING GP DISPENSING PROPOSED BY THE DEPARTMENT OF HEALTH IN ITS CONSULTATION DOCUMENT Option 1 No Change This is the practices preferred option. It would remove the threat to your dispensary service. Option 2 The distance criteria would be removed and Primary Care Trusts would determine dispensing rights based on their pharmaceutical needs assessments. We are concerned that this option could pass the decision making process into the hands of managers who have to deal with many other pressures and targets. There would be constant uncertainty regarding the future of the dispensing service. It could also result in a postcode lottery with different rules for patients in different areas of the country. Option 3 Practices with a pharmacy within one kilometre of their premises would lose the right to dispense. (The option originally outlined in the white paper) This would not have an immediate impact on North Curry Health Centre, as there is not currently a pharmacy within a kilometre of our premises. However we believe this option could be the greatest threat to the practice. The rule change would mean that a pharmacy could open near to the practice and we would lose our right to dispense to any of our patients. Patients would all be obliged to go to the pharmacy to collect their medication. Despite the governments claims of patient choice, patients would not be allowed the choice to get their medication from their doctor. As explained in our letter the financial implications for the practice would, at the very least, result in us having to scale down the services that we provide. We are seriously concerned that the practice would no longer be financially viable and would have to close. Option 4 The same as option three, but practices would only lose their right to dispense if there were two pharmacies within a kilometre. This is clearly less of a threat than option 3. It could however allow one of the big pharmacy businesses to open two small pharmacies, and effectively be handed the dispensing business of the practice, with the same serious consequences. It also goes against the principles of the patient having the choice of where to obtain their medication. egz{x { | UV h 25\ h 2>*h 2 efgz{w x { | UV `^``$a$,1h. A!"#7$% ^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH :@:  Heading 1$@&5\DA D Default Paragraph FontViV 0 Table Normal :V 44 la (k ( 0No List :B@:  Body Text$a$5\RC@R Body Text Indent`^``5\PK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]   8@0(  B S  ?33 2/t;3IZf@8 @UnknownG* Times New Roman5Symbol3. * ArialA BCambria Math"h/zf/zfKdKd#7x202QHP $P3I2!xx Primary Care Staff Dr Anne HicksOh+'0  < H T`hpx Primary Care Staff Normal.dotmDr Anne Hicks2Microsoft Office Word@F#@r4.@r4.Kd՜.+,0 hp  Somerset Health Informatics  Title  "#$%&'(*+,-./03Root Entry FV.5Data  1TableWordDocument.SummaryInformation(!DocumentSummaryInformation8)CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q