Call for NHS charges for some operations

  TOPCAT® 01:19 29 Jan 2007

"NHS patients should be made to pay for care, including hip and eye surgery, in a similar way they do for dentistry, NHS public health chiefs say. The Association of Directors of Public Health said rising demands on the NHS will lead to more rationing...."

click here

I suppose it will come about in the near future but it goes against the founding principle in 1948 of providing full and free health care for all our citizens, based on need and not the ability to pay. If the proposals mooted above are accepted then I believe many more citizens will be forced to take out private medical insurance. TC.

  robgf 01:43 29 Jan 2007

The NHS should only provide essential operations. But I would class hip and eye operations as essential, after all, walking and seeing is quite important to most people!

This idea of leaving such problems until they are acute, seems rather strange to me, surely if you have to fix something anyway, sooner is better than later.

This reminds me of a work colleague who lost a leg in a car crash and the insurance company sent him to one leg specialist, after another, delaying compensation payment.
We suspected they were hoping it would grow back.

Rob. :)

  Mr Mistoffelees 09:27 29 Jan 2007

I think there should continue to be no additional charges for all essential treatment. However I think there is a case for charging for non-essential treatment, such as IVF or removing minor skin growths like warts. There should also be charges for unnecessary ambulance call-outs, some examples here:- click here

  spuds 14:11 29 Jan 2007

Having just spent part of a day in hospital,via a pre-arranged appointment,I witnessed 'wastage' on a depressing scale. Perhaps some of the managers or people who make these statements of extra charges and support, want to adopt methods of patient consultation, and see where some of the wastage, especially on administration finally ends.

  pj123 14:49 29 Jan 2007

Isn't that what we pay National Insurance for or have I got it wrong. (Probably like Road Fund Licence, which was supposed to go to the upkeep of the roads. Now called Vehicle Excise Licence so can be used anywhere.)

I agree with spuds, I have just spent 10 weeks in hospital and the waste I have seen is horrendous.

  Jak_1 14:59 29 Jan 2007

I was listening to a report on the radio as I was coming home from work, what they were saying was about levying a charge for 'non essential operation' for example, cosmetic surgery ( not to be confused with plasic surgery in the cases opf traumatic loss of tissue and correction of deformities etc), non essential tosillectomy's and such like. They also went on to say that by doing this they would be able to get rid of prescription charges.

  Kate B 15:04 29 Jan 2007

God knows, something is going to have to give in the NHS, but I don't think it should be someone sitting on high and deciding what should and shouldn't be paid for. One person's non-essential is another person's essential.

  spuds 15:11 29 Jan 2007

Regarding getting rid of prescription charges, this already applies to certain sections of the community. Over 60, on certain benefits, childcare or certain specified ailments are to name but a few.

One thing that I could never understand, is/was people on incapacity benefit could never claim free prescription charges, yet in some cases these were the most needy.

  Kate B 15:17 29 Jan 2007

I don't have a problem with prescription charges. Drugs are seriously expensive - the migraine stuff I take regularly costs a fortune if bought privately so I really don't mind paying a token amount for them. You can get a season ticket for regular prescriptions which keeps the cost down. I think it's easier to keep prescription charges and leave delivery of healthcare free than to start charging for procedures/doctors' visits/whatever.

  Jak_1 15:35 29 Jan 2007

Tattoo removal, something that can be done on the NHS at the moment, hardly essential in any terms. It was maily things like that that were talked about being charged for.
I don't mind paying my prescription charge, for me to buy simvastatin at full cost would be extremely expensive' The strength I use is not availlable without prescription; my inhalers, I restrict to one every few months being able to supplement them with ones bought over the counter in spain cheaper than on prescription here. I bring back a job lot each time, lol
Drugs are costly and where possible the NHS prescribe the generic version ie Brufen (Trade name) and ibuprofen (Proper name) the generic ones being axactly the same but unbranded and cheaper.

  spuds 15:35 29 Jan 2007

Perhaps off tangent slightly, but In my location there is a dispute going on at present, in respect of two doctor's. The surgery is fairly modern, and previously consisted of three doctor's, one of whom as since left. Getting a replacement as proved very difficult, and as a result the register of patients have been reduced.

People are having to travel further a field for medical attention through this move. What was noticeable was the reduction of certain types of patients ie mental health.

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