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Westcountry doctors are to be offered payments of £100 for every patient they keep out of hospital, in a controversial drive to cut waiting lists. The scheme is designed to encourage family doctors to be more proactive in dealing with the care of elderly patients and those with complex long-term health problems. Supporters claim the initiative, which is due to begin within the next few days, will improve patient care and cut 'unplanned' admissions to hospital by up to 15%. The scheme, which could also slash primary care trust (PCT) bills for hospital treatment, has already attracted national attention, with around 40 PCTs across the country now considering similar initiatives. But concerns have been raised that incentive payments to doctors could be seen as unethical and damage trust with patients who might feel clinical decisions were being influenced in an inappropriate way...
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