A new report “Making Difficult Decisions” has been launched by NHS Clinical Commissioners in collaboration with the University of Birmingham, and is heralded in The Times by the headline “How to close hospitals” (not on line), and is about how to broach hospital closures with the public. It says “active engagement, consultation and nurturing trustworthy relationships” are vital….. In retrospect, in Pembrokeshire which rejected a new build 7 years ago, a majority of the profession would support it now, seeing what the alternative has been. Would anything have been different if this report had been 10 years earlier?
If rationing is accepted as a “policy” and a pragmatic need in view of the advance of science faster than our ability to pay, then we can start the discussion about the options for “how” to ration acceptably.