Mike wells is right.
Fundholding was an expensive flop. You can never induce a contestable
market in a closed market. We stayed out and have enjoyed the 8 year
holiday.
PCG's are less attractive still.
The NHS needs money and healthy competition and b..... quickly.
1) allow tax releif on health insurance. The middle class / companies will
buy it in droves. Sure it will cost a bit but 150 to 400% more new money
enters the system (depending on your tax). Take 10% of referrals out of
the system and the hospitals will suddenly cope. OK some money will go to
the private hospitals etc. but much will filter in to the NHS 'trusts'.
Hospitals will compete, standards will rise with morale, we can pay the
nurses etc.
2) allow all Dr's, NHS / private access to a limited drug list (one
committee only) ie. two .*olol's, two *pril's, two SSRI's etc. Allows GP's
private patients, specialists freedom, smooth and uniform prescribing and
cuts out this crap about who pays, daft bits of paper arriving on my desk
re. please prescribe x. Don't worry about the drug companies, there will
only be a few in a couple of years and we will get new drugs and less
clones.
3) No fault compensation.
And the NHS will survive. It will focus peoples minds on their own
collective responsibility. We can get stuck into patients, PGEA's, what
ever, but stop spending all our waking hours in daft ruminations over none
existant moneys. Administrators and polititions will have a different role.
John Charlton.
Derby.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|