The Wild Frontier: More English patients with GPs in Wales than vice versa – Rationing by choice restriction is unethical when there is a frontier option for some, and not for the rest of Wales.

BBC News reports 18th November: More English patients with GPs in Wales than vice versa

which-hospital - choice in England

Of course. No surprise here. If I had a choice and lived on the border I would register in Wales for free prescriptions and in England when I got ill. Therefore it is no surprise that Wales loses out. There are 35,000 patients concerned and Wales has 5000 excess. It was all forecasted by Aneurin Bevan In Place of Fear A Free Health Service 1952 Chapter 5 In Place of Fear – look at the appendices.. So who will be the first WG Labour member in Wales to say ” Wales Health Services cannot continue to match English standards unless they work under the same “rules”. Rationing by choice restriction is unethical when there is a frontier option for some, and not for the rest of Wales.

There are more English patients registered with GPs in Wales than vice versa, a top NHS official has told MPs.

Helen Birtwhistle, director of the Welsh NHS Confederation, said 20,000 English patients were registered with Welsh GPs compared to 15,000 Welsh patients with English GPs.

No extra money comes to Wales for the additional 5,000 patients, she said.

The Welsh Affairs committee’s hearing comes amid a bitter political row over the state of the NHS in Wales…..

Jesse Norman, Conservative MP for Hereford and South Herefordshire, told the committee that 3,500 people in Herefordshire were with Welsh GPs mainly because they were the nearest and English GPs would not accept them.

He called for assurances such people would be given the same rights as other English patients under the English NHS in terms of waiting times for treatment and access to the cancer drugs fund in England…..

Bill Proud / Cartoon Stock

18 NOVEMBER 2014, WALES

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This entry was posted in A Personal View, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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