It’s time to debate rationing services on Welsh NHS says top Welsh doctor

The important thing about rationing is to be honest about it and not obfuscate. Every citizen should know what is NOT covered by their membership of their particular Regional Health Mutual. Dr Banfield is following the lead given by the members in Cardiff earlier this year.. But the politicians are already objecting and apparently wish their citizens to be unaware of what is not available! Once the debate has begun we can debate the best and most ethical and pragmatic ways to ration, with help from the Kings Fund and the Nuffield Trust. see (Nuffield Trust Report on Rationing )

Rationing more worthy

Rob Osborne reporting for ITV News 7th March reports: It’s time to debate rationing services on Welsh NHS says top Welsh doctor

A senior Welsh doctor has called for a debate on rationing services in the Welsh NHS ahead of the Assembly election in May.

Dr Phil Banfield, Welsh chair of the doctors union the British Medical Association says his members would welcome a debate as demand for services is “outstripping the resources available” and says the next Welsh Government or Health Boards need to be explicit about what is or isn’t provided.

He was speaking to me for tonight’s Sharp End on ITV Wales.

Dr Banfield says this does tie in with Mark Drakeford’s prudent healthcare agenda but goes a step further.

What is Prudent Healthcare? Mark Drakeford has pursued the prudent heathcare for the last few years.

It’s defined as

  • Care for those with the greatest health need first, making the most effective use of all skills and resources
  • Do only what is needed, no more, no less; and do no harm
  • Reduce inappropriate variation using evidence based practices consistently and transparently.

Phil Banfield wants the public, politicians and health service to be engaged in this debate. Rationing is an emotive term, but it’s one he stands by

This entry was posted in A Personal View, Good News, 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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