Smokescreen and fuss about nothing. Of course we should charge for non qualifying patients from overseas. We already charge for private services ….

What a fuss about nothing. Of course we should charge for non qualifying patients from overseas. We already charge for private services …. The charges for passport signing or form filling for insurance reports do not cause offence either to patients or staff. Doctors in Private Practice always explain the charge beforehand….. The fears will not be realised. The true cost to each citizen is approximately £5 each per annum, so whatever replaces the current system has to cost less (save more) and reintroduce reality. One also wonders what will happen if the 4 UK jurisdictions all have differing rules. There is inflation in health tourism. In 2015 it was £1 per head and in 2016 £5 per head. There comes a point at which administrative overheads are worth it… It seems the political classes are determined to lead us like lemmings, and the collusion with the media makes for a better disaster story when it happens. Rationing must be overt, as must the cost to everyone, for everything and every service.

In the last week we have had two big smokescreens: private patients abusing Health Services and the naming of Junior Doctors in Training. We all know we cannot have Everything for everyone for ever

Upfront charges will NOT “create chaos in the NHS” as reported in the Sunday Telegraph 22nd October 2018.

and David Millett for GPonline: Overseas patient charges could leave GPs swamped as last bastion of free NHS

BBC News 6th February: Upfront charges for NHS foreign patients in England (Note not Wales, Scotland or Ireland)

The Department of Health guidance rules are at the DOH: Summary of changes made to the way the NHS charges overseas visitors for NHS hospital care updated 20th October 2017.

‘Health tourists’ run up unpaid NHS bill of £62m – less than £1 per capita… (2015)

ID cards could help validate access to Health, and have other benefits

The politics of health.. The Lemmings of the left leave a vacuum where Mr Stevens’ debate will not happen… Are we all lemmings as far as our health system is concerned?

Rachel Clarke in the Guardian: Opinion: I’m proud to be called a junior doctor. Titles are the least of our problems



This entry was posted in A Personal View, 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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