The thin edge of the wedge. Is private A&E going to thrive and become the shape of the future? Aneurin Bevan, what would you do?

Chris Smyth of The Times reports on the first Private A&E in London, (The private A&E will see you right now) and the leading article on the 15th derides the change. This development has been predicted by NHSreality for some time now, and the two tier unofficial health service is here. Politicians and the Media seem to conspire in a collusion of impotence. Is health just too toxic a subject for UK citizens to address? Nobody copies us now, and those that did have realised their error and changed the funding basis to be founded in reality rather than in the clouds.….”

Is Primary care to follow dentistry? Rather than Denplan, will GPplan to be marketed soon? The whole aspect of removing fear has been denied. We are bringing back fear… Those interested might like to read Bevans chapter 5 at the end of this post.

The Times view on private medical care: expansion signals a health service in trouble – It is the failures of NHS provision that are generating demand for private treatment

We report today that patients are increasingly turning to private provision for this care.

This is not only a rational decision for those patients who can afford private treatment for accident and emergency. It also has public benefits by easing pressures on the health service. Though it will be tempting for policymakers to rail against the emergence of a “two-tier” system, it would be more constructive if they focused on the failures of NHS provision that are generating the demand for private treatment.

The market for private provision of non-urgent operations is established. But demand for these services, generally known as casualty, emergency and urgent care units, suffered in the early years of this decade after the financial crisis of 2007-09. Even so, about 11 per cent of Britain’s population has some form of private medical insurance. The principal gap in these policies is that they do not provide cover for accident and emergency.

This is not because emergency treatment in the health service is so good that no one would want to go elsewhere. On the contrary, waiting times in hospitals are too long and getting longer.

We just cannot have Everything for everyone for ever. 

The Times article and leader are below:

Private A&E London Private AandE London

In Place of Fear A Free Health Service 1952 Chapter 5 In Place of Fear

Many A&Es are failing now. As delays, standards, and staffing gets worse, more and more demand will come for private A&E and ambulances.

A humanitarian crisis – and the goodwill of staff has disappeared. When will the public ask for private A&E?

When will private hospitals begin to offer alternative A&E option?” NHS worse in Wales”. Close the doors!

Surgery waiting lists at ten-year high. The perverse outcome is a two tier society…



This entry was posted in A Personal View, Consultants, Dentists, Post Code Lottery, 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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