Knowing the cost would help… In advance would be “tough love”: retrospectively is acceptable.

The argument in objecting to knowing costs in advance is that some would not take up the service. NHSreality says this is part of the “tough love” that is needed if we are to save our health services. Lord Alverthorpe’s argument is reasonable, but not tough enough. There must be too many patient representatives feeding back to the Lord.

The Times letters 29th March 2018

Sir, The government’s prospective financial birthday present to celebrate the NHS’s 70th anniversary should not detract from the search for funding reforms for health and social care (letters, Mar 24). It should encourage us to review how responsible we are for maintaining the NHS. Some of us in the House of Lords have long argued that if patients knew what the costs of NHS services were they might treat it more responsibly. The government opposes such a development for fear that it might discourage the take-up of services. So I have suggested that after treatment only those patients who request it be told the cost. They could then make a tax-free donation covering the cost or part of it to an NHS national charity established for this purpose.
Lord Brooke of Alverthorpe
House of Lords, London SW1

This entry was posted in A Personal View, Patient representatives 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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