Gaming the system works – if you have time and the publicity / “source force”. It is unsafe to be a cancer patient in Wales…Just pray you don’t get cancer, then you won’t need to play.

Gaming the system works – if you have time and the publicity / “source force”. The British public are not aware until they or their nearest/dearest get a cancer, how different the system can be in different regions. This is exactly what Aneurin Bevan’s “In Place of Fear A Free Health Service 1952 Chapter 5 In Place of Fear” was trying to avoid. In The Information Age we have created a system that rewards the assertive, determined and informed, and penalises the passive recipient. Add to that the ability to travel, or being rich enough to have a holiday home in England, or lucky enough to have relatives/friends who will help you making the Choicees and “Gaming the System”, and you could well live longer.. Just pray you don’t get cancer, then you won’t need to play.

Bangor cancer drug patient’s England move ‘worked’ – BBC News 13th July 2015.

A Gwynedd cancer patient who moved to England to get the treatment he could not receive under the Welsh NHS says his decision could mean he will soon be in remission.

Irfon Williams, 45, from Bangor, has bowel cancer which spread to his liver.

He opted to live with relatives in north west England after a bid to get treatment funded in Wales using the drug Cetuximab was rejected.

The tumours been have shrunk and will be removed in September.

He no longer has symptoms from them.

First Minister Carwyn Jones said on Monday he would meet Mr Williams to “hear what he has to say to me”.

Mr Williams told BBC Wales: “I’ve demonstrated that this has worked for me.”

“I’m having surgery in September which could lead to remission.

“I’m not out of the water yet – there’s still a long way to go – but I’m in a much better position now than I would’ve been had I not received this treatment.”

In 2014, Mr Williams was told he probably only had two-and-a-half years to live but this appears to have changed following the treatment at Manchester’s The Christie, one of Europe’s leading cancer hospitals.

‘Perfectly reasonable’

It was recommended by three clinical experts treating him, and is paid for through the Cancer Drugs Fund, which does not exist in Wales……

As waiting lists lengthen and the system fails us all a reminder of another gaming option: NHS to pay for treatment abroad if patients’ treatment faces ‘undue delay’

Knowledge, Information, & power, allow former CEO to game the system. Even the bosses in Wales vote with their feet..

“Safety fears made me quit being a GP. The system’s broken”.Phil Hammond

Wales cancer treatments denied. An interview on The One Show

Fewer than half the population know who runs Welsh NHS, says poll



This entry was posted in A Personal View, Commissioning, Perverse Incentives, Post Code Lottery, Professionals, 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.

One thought on “Gaming the system works – if you have time and the publicity / “source force”. It is unsafe to be a cancer patient in Wales…Just pray you don’t get cancer, then you won’t need to play.

  1. Pingback: The deep mind approach to “gaming the system”.. | NHS reality. An NHS soapbox. Speakers' corner for the NHS.

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