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A practice that’s entirely service oriented, responding to demand for appointments by increasing capacity with no limits, will soon find itself unable to pay the bills or with staff burning out from overwork—or both If a practice focuses purely on the bottom line, attention may be paid to the most financially rewarding work (such as NHS health checks) rather than the most important clinically 1 Highly qualified staff may be replaced by those with a narrower range of skills who are cheaper to employ [ ]if the £12 58 (€13 70;$16 70) allowed per jab fails to cover the cost of extra admin staff to arrange or rearrange appointments at short notice—and the additional hours of clinical staff time needed to keep everyone observed for 15 minutes or backfill routine clinical work—practices may be forced to pull out
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BMJ_:_British_Medical_Journal_(Online)
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Helen Salisbury: Bumps in the road to covid vaccine rollout
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