Suspected cancer: recognition and referral – the patients’ information age makes it harder and harder to justify covert rationing.

In The Information Age patients who can be more informed will have even more of an advantage over those who choose to remain ignorant or are unfortunate enough to be uneducated or unable to use/access the internet. Many doctors trained in an era of plenty, will blanche at the idea that their colleagues need this reference tool at all. But given that practices and primary care is being delivered more and more by nurses and nurse practitioners/para medics, the guidelines will be useful. As efficiency reduces, due to lack of sufficient numbers of well trained doctors, NHSreality predicts there will be more over-investigation and more poorer judgements in spending public money. This may well accelerate the demise of the UK health services. It will become harder and harder to justify covert rationing.

The NICE Suspected Cancer recognition and referral – symptom reference guide is now on line for anyone to read. First published June 2015, it was updated in November 2015.

The routes to diagnosis, in an ideal world, are clear, and regions with poor waiting times and access to specialist services will see the poorest results. This means patients will by pass the health service and inequalities will rise.

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This entry was posted in A Personal View, Rationing 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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