Its not news to GPs or the Surgeons: Covert, Post-Coded, deserts based rationing is official policy

We cannot say we were not warned. On 8th May 2013 BBC News reported: ‘Stark variation in NHS surgery due to rationing’

Its not news to GPs or the Surgeons: Covert, Post-Coded, deserts based rationing seems now to be official policy. Those unfortunates in the wrong post codes need to be affluent enough to get private cover, or to pay directly for their care when their Region restricts it. NHSreality recently reported David Oliver opining in the BMJ on UK Health Services  The best health system – we are world class for equity, but not for outcomes. It does not take long for standards to fall once implosion is on us, and the next WHO report will make this clear. At least there will then be comparisons across the 4 different systems, and with other systems whose outcomes are even better.

Sofia Lind reports in Pulse Jan 2013: GPs to be given rationing thresholds for surgery

Now on 23rd April 2016 BBC News reports: Obese patients denied surgery in a third of areas in England

Surgeons are worried overweight patients and smokers in England and Wales are being denied surgery to save money.

A report by the Royal College of Surgeons found a third of local NHS health bosses in England put restrictions on access to surgery.

But it says this goes against official guidance…..

Its not just Hospital procedures. Alex Matthews-King reports in Pulse 8th July 2014:  GP minor surgery procedures being ‘rationed’ by NHS managers

Covert rationing is not confined to Surgical procedures. The psychiatric rationing of access to talking and listening therapies is done because of the spend on drugs….. If we rationed overtly at least we could be seen as fair, and pragmatic.. and announced in advance the rules should be clear and universal rather than post coded.

David Oliver: The best health system – we are world class for equity, but not for outcomes

Terrifyingly, according to the World Health Organisation definition the UK no longer has a NHS

This entry was posted in A Personal View, Post Code Lottery, 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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