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I note the Bupa questionnaire is of a similar nature to the DoH AQP qualification for neck and back care in regard outcome and performance measures, clinical governance, health and safety etc.

An osteopath who can fulfill the Bupa recognition scheme questionnaire would I think be able to be subcontracted under a Bupa umbrella to receive NHS patients if Bupa were running a PCT/CCG contract.

The fixed fee of £40/30 may create a business case for Bupa to provide an NHS (AQP)osteopathic services for neck and back care in some areas of the country with a high enough tariff by using its network.

Just a thought.

I think with PMI/NHS funding and EBM if you wish to work in this sector capped fees, set treatment protocols/pathways and set levels of patient contacts are the way things are going.