The reality is that for most of us the state safety net is absent. If social care is means tested, then why not health care?

The safety net of the 4 health services is “free, comprehensive, cradle to grave, without reference to means”, but the safety net of social care is means tested, and only available in extreme poverty and with multiple conditions, and after a long delay in assessment, by which time the patient is often dead. The reality is that for most of us the state safety net is absent. If social care is means tested, then why not health care? Brexit costs can only make this worse… If we are going to ration lets do it  honestly. Commissioners should be allowed to alert their populations to what is not available in their post code.

William Eishler in Local Government news reported 17th Jan 2018: Funding system for continuing healthcare needs failing patients.

The system for funding health and care services is overly ‘complex’ and is ‘failing’ people with continuing healthcare needs, such as Alzheimer’s and multiple sclerosis, MPs say.

A new report by the Public Accounts Committee (PAC) warns that many people have their care compromised because no one makes them aware of the funding available or helps them to navigate the funding system……

Mark SMith for WalesonLine 23rd August 2018 reports: Families facing ‘excessive delays’ in reclaiming thousands for healthcare costs they should never have paid – Public Ombudsman for Wales has says 330 claims still need to be reviewed

Patients and their families who have incorrectly paid up to hundreds of thousands of pounds in healthcare costs are facing “excessive delays” in getting their money back, it has been revealed.

A new report from the Public Ombudsman for Wales has found that as many as 330 claims still need to be reviewed from people who feel they may entitled to a reimbursement.

The NHS has set up a funding programme, known as NHS Continuing Healthcare, which means people with a complex, ongoing illness can apply for an assessment.

For those eligible, all care needs outside hospital – including nursing home costs or help from a community nurse – are met by the NHS.

But for years, many families have been unaware about this programme and have resorted to selling their homes and making other major sacrifices to make ends meet….

Continuing Health Care funding needs to be rationed honestly, universally, and overtly. The only fair way is by a third party without the Perverce Incentive to refuse..

Continuing Health Care – the Lottery of how you die and how determined and educated your relatives are: Healthcare system is in need of a cure

Untrustworthy staff – continuing saga of data collection failure blights the Health Services potential. GPs cannot have had enough say and power in planning…

What models of funding are best for a healthy and just society? No other country has chosen our system, even after 70 years and our Olympic boasting. The public need to be led into realising why not.

Personal, continuing care….. is going the way of the dodo. Basingstoke represents the rest of the country.

Trials of personal budgets will have long term perverse outcomes in an ageing society. Health costs are rising, and geographic variations will become greater….

The “State of health and care in England” – is declining and worryingly underfunded…

A loss of personal continuing care. 700 practices in 5 years. Is the GP going the way of the Dodo in the past, or the Salmon in the future? We need to rediscover it’s value.

The Brexit catastrophe is only just beginning

This entry was posted in A Personal View, Patient representatives, Perverse Incentives, 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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