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It was agreed early that services to nursing home patients and also for patients with learning disabilities would be an enhanced service. Why have these areas been dropped?

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It was agreed early that services to nursing home patients and also for patients with learning disabilities would be an enhanced service. Why have these areas been dropped?

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A There is an allowance for the additional work involved with providing essential and additional services to nursing and residential home patients in the global sum. The planned enhanced service was to provide a level of service above this. The NHS Confederation and the Department of Health would not agree to fund this and services for patients with learning disabilities at reasonable levels that the GPC negotiating team could accept. While the government wanted to include these as enhanced services they could not afford them, even though they are actually their policies! Q I work in an area where there is a high elderly population and we have lots of nursing home beds. I’m worried that because this is now a local enhanced service the PCOs will say that they have not got the money. It should have been a national enhanced service! A Despite the problem with the formula, remember that it does take into account of both the elderly and patients in nursing and residential homes. LESs are on

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