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>Rob wrote: (edited) > > A deterrence policy should be adopted ...... to dissaude patients from >attempting to enter hospitals at all I had previously been struck by Alan's inital strategy proposal and its similarity to the points system for council house waiting lists. It seems the analogy to becoming 'intentionally homeless' could be introduced to hospital waiting lists too - so any patient deemed to have made themselves 'intentionally unwell' due to their lifestyle, choice of occupation, etc. could be awarded 'nil points' and refused admission to the waiting list anyway. That might reduce the lists by anything up to 90%? Apologies for corrupting a serious proposal with these jokes of doubtful taste. I was quite serious about the use of scheduling systems adapted from other domains. I think the GP assessment of urgency would have to be monitored in some way to avoid some GP's marking all their cases high (examiners have developed methods of mitigating this). Of course if the scoring system is open, then you are going to have to be open about scoring points for the ability to pester your GP for urgent attention, or the ability to pay. There must be other ways the current system is manipulated too. Bob Sugden %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%