Gaming – a possible solution. A new business opportunity. For a big city in the UK to help rural Wales..

There is a great opportunity for a large city with a Tertiary Specialist centre to offer a lifesaving and creative solution for the people of rural Welsh areas. NHSreality suggests a building is divided into many millions of segments, and each is leased off to individuals at a small price. The price is to cover the cost of segmenting the utility bills, and forwarding copies as needed to the individuals who decide to purchase.

The advantage would be that citizens in rural areas, especially in Wales where there is no “choose and book” would be eligible for speedy access, without bureaucratic impediment, to the tertiary centre. Initial investigation and diagnosis in the rural area would be followed by changing registration to the city concerned.

Business Plan.

Capital costs: Assume at least 1000 people would take up the option and that the property costs £100,000. That is £100 each for a lease for say 10 years., reviewed as maintenance becomes problematic. But of course more patients might join the scheme..

Running Costs: The cost of would be about £100 per annum for overheads such as e-mailing scanned documents (appointments and copy letters to/from the GPs concerned).

What a great move for the Community Health Council. They would be representing their citizens and drawing attention to the inequalities of rural living…  By “reducing inequalities” they would be in tune with Welsh Government policy.

Meanwhile, there is a rumour that Seb Blatter will be offered Mark Drakeford’s job – no problem. It could not get worse.



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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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