HOME >> MEDICINE >> NEWS
Government reforms may bring an end to free healthcare

The Government's current NHS reform programme could lead to patients being charged for access to healthcare, argues a paper in this week's BMJ.

New 'patient choice' policies take no account of limited resources and funding, say the authors. Patients - 'consumers' in the new NHS - bear no financial responsibility for the choices they make. Primary Care Trusts (PCTs), who pay for local health services in each area, are simply picking up the bill with no control on spending.

The Government's proposals for expanding market forces in the NHS will also be inefficient, say the authors. The aim is to drive costs down and improve quality through competition - external companies vying for NHS contracts. But prices have been fixed in advance, neutralizing the benefits of market forces.

In addition, more resources are going into the "black hole" of the hospital sector, and the way Foundation Trusts are funded heavily distorts the market.

Such a system will not be sustainable, say the authors: "We face the prospect of an NHS led totally by patients, with supply responding purely to consumer demand without any recognised cap on expenditure." If the Government does not change tack, this "can only lead to user charges," they warn.

Current UK policy seems based on US systems, say the authors. But these may not be transferable, particularly since organisations in the US deemed as successful models to follow, such as Kaiser Permanente, do not have to look after the range of health needs of a whole community, as the NHS does.

Instead the UK should introduce specifically-designed 'superpractices', family doctor surgeries expanded to include some hospital and social care services, all working together. Superpractices, servicing communities of 25-30,000 people and based on the old 'fundholding' model, would work best for controlling costs without compromising patient care, conclude the authors.


'"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-207-383-6529
BMJ-British Medical Journal
1-Dec-2005


Page: 1

Related medicine news :

1. Government fails sleepy Judge Dodd
2. Governments reliance on free market economics makes essential drug prices too high for the poor
3. Frazer welcomes Federal Government decision on Gardasil
4. Government scheme to improve health and well-being of deprived families called into question
5. Governments preparation for bird flu outbreak welcome
6. Government pledge on access to medicines welcomed
7. Governments need to act transparently to stem public anxiety about a human influenza pandemic
8. Government spin on success of NHS cataract privatisation criticised
9. Government plans for NHS more aggressive than Tories ever were
10. Government policy changes lead to dramatic drop in heart disease deaths in Poland
11. New reforms could cut the number of unexplained infant deaths

Post Your Comments:
*Name:
*Comment:
*Email:
TAG: Government reforms may bring end free healthcare

(Date:8/31/2015)... ... , ... On Saturday, July 11, 2015, during the annual New York State ... was proud to recognize Dr. Merritt F. Spear as the 2015 recipient of the ... long-time NYSATA member and Ithaca College athletic trainer and educator, is considered for individuals ...
(Date:8/31/2015)... ... ... Adult & Pediatric Dermatology in Greenwood Village, CO has launched a new ... services available to help them. , The website better showcases the practice to ... to view the website seamlessly on any desktop computer, tablet or mobile device. , ...
(Date:8/31/2015)... ... ... The Marietta dentists and staff at Verde Pointe Dental Associates ... staff ran a 5K race, the Iron Horse for Enduring Hearts on August 30th, ... the event to help support projects with funding to increase understanding of clinical and ...
(Date:8/30/2015)... ... 31, 2015 , ... Negotiating an FDA Import Hold Crisis:, Strategies for Challenging ... http://www.fdanews.com/importholdcrisis , US authorities are holding imports more than ever before, particularly ... With alerts on an uptick and a new final rule, having a top-notch import ...
(Date:8/30/2015)... (PRWEB) , ... August 30, 2015 , ... ... across platforms and devices, today announced it is a Silver Sponsor of the ... at Sky City Convention Centre in Auckland, NZ. Throughout the event, AvePoint will ...
Breaking Medicine News(10 mins):Health News:NYS Athletic Trainers' Association Presents Recognition Awards at Annual Conference 2Health News:NYS Athletic Trainers' Association Presents Recognition Awards at Annual Conference 3Health News:Adult & Pediatric Dermatology Launches Responsive Design Website 2Health News:Adult & Pediatric Dermatology Launches Responsive Design Website 3Health News:Verde Pointe Dental Associates Runs a 5K for Enduring Hearts 2Health News:FDAnews Announces — Negotiating an FDA Import Hold Crisis: Strategies for Challenging FDA Findings Webinar, Sept. 22, 2015 2Health News:FDAnews Announces — Negotiating an FDA Import Hold Crisis: Strategies for Challenging FDA Findings Webinar, Sept. 22, 2015 3Health News:AvePoint Showcases the Future of Enterprise Collaboration as Silver Sponsor of the Digital Workplace Conference in New Zealand 2Health News:AvePoint Showcases the Future of Enterprise Collaboration as Silver Sponsor of the Digital Workplace Conference in New Zealand 3Health News:AvePoint Showcases the Future of Enterprise Collaboration as Silver Sponsor of the Digital Workplace Conference in New Zealand 4
(Date:8/28/2015)... DUBLIN , Aug. 28, 2015 ... announced the addition of the "Investigation Report on ... Developed by Roche under the trade name ... in the world. In Feb.26, 2010, it was approved ... injections available in China all ...
(Date:8/28/2015)... DUBLIN , Aug. 28, 2015 ... ) has announced the addition of the ... report to their offering. Developed by ... Seroquel) is an important drug for the treatment ... in 2000, quetiapine was listed in the Catalogue ...
(Date:8/28/2015)... N.J. , Aug. 28, 2015  IP Shakti, LLC, ... LLC. ... "Our new corporate identity signifies our transformation ... world,s first predictive analytics platform for patent claim validity." ... the launch of the proprietary AIA Shield™ platform, the Company ...
Breaking Medicine Technology:Investigation Report on China's Bevacizumab Market 2015-2019 2China Quetiapine Market Investigation Report 2010-2019 2IP Shakti, LLC Changes Company Name to Prediqtus, LLC 2
Cached News: