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.
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.