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:4/17/2014)... variant specifically associated with the risk of a ... cent of all breast cancer cases. , The ... called invasive lobular carcinoma, gives researchers important clues ... of breast cancer, which can be missed through ... the journal PloS Genetics , was co-led ...
(Date:4/17/2014)... In the April issue of Experimental Biology ... by Drs. Rex Gaskins and Paul Kenis in ... campus of the University of Illinois Urbana-Champaign describe ... reduction-oxidation reactions underlie a variety of cell functions ... to these crucial roles in regulating normal cellular ...
(Date:4/17/2014)... Pediatrician-in-Chief Jon McCullers, MD, was recently invited to ... Nature Reviews Microbiology , one of the ... world-renowned infectious disease specialist, and chair of the ... Health Science Center, analyzed the epidemiology and microbiology ... pandemics, as well as more recent 2009 novel ...
(Date:4/17/2014)... million older Americans suffer from depression, often brought on ... research a project that followed the lives of ... found that Internet use among the elderly can reduce ... , "That,s a very strong effect," said Shelia Cotten, ... and media who led the project. "And it all ...
(Date:4/17/2014)... of Medicine (BUSM) have discovered that the anti-seizure ... model. The findings, reported in the American ... lead to more effective treatments for alcoholism. , ... leading causes of illness and death in the ... limiting the productivity of workers and necessitating huge ...
Breaking Medicine News(10 mins):Health News:First genetic link discovered to difficult-to-diagnose breast cancer sub-type 2Health News:First genetic link discovered to difficult-to-diagnose breast cancer sub-type 3Health News:Live cell imaging reveals distinct alterations of subcellular glutathione potentials 2Health News:Internet use can help ward off depression among elderly 2Health News:BUSM researchers find anti-seizure drug may reduce alcohol consumption 2
(Date:1/15/2014)... 2014 /PRNewswire-iReach/ -- ChinaMarketResearchReports.com adds "China Orthopedic Instrument Industry ... (Photo: http://photos.prnewswire.com/prnh/20140115/MN46792 ) Benefiting ... China,s orthopedic instrument industry has ... size rising from 3.28 billion yuan in 2006 to ...
(Date:1/15/2014)... Jan. 15, 2014 As health officials across the Midwest ... Meijer pharmacies in Michigan will offer ... patients, enabling Meijer pharmacists to administer tests and, in some ... a physician participating in the study. The ...
(Date:1/15/2014)... Corporation (the "Company") (NASDAQ: CLSN ) today ... to purchase an aggregate of approximately $15 million of ... offering, led by a dedicated health care fund. ... these investors pursuant to which the Company agreed to ...
Breaking Medicine Technology:Orthopedic Instrument Industry in China Markets Forecast to 2015 2Orthopedic Instrument Industry in China Markets Forecast to 2015 3Meijer Pharmacy Offers Free Flu, Strep Testing as Influenza Cases Rise Across the Midwest 2Meijer Pharmacy Offers Free Flu, Strep Testing as Influenza Cases Rise Across the Midwest 3Celsion Corporation Announces $15 Million At-The-Market Registered Direct Offering 2Celsion Corporation Announces $15 Million At-The-Market Registered Direct Offering 3
Cached News: