医師の一分

アクセスカウンタ

zoom RSS NHSと私的医療の境界/英国医療事情

<<   作成日時 : 2011/10/17 20:21   >>

なるほど(納得、参考になった、ヘー) ブログ気持玉 2 / トラックバック 0 / コメント 0

 GPsが私的診療をターゲットにし始めたことで私的診療とNHSの境界が曖昧になってきている。
 ヨークの診療所ではNHS医療費が補償されないとして患者に対して治療の一部を私的診療で提供すると提示し始めた。
 財政問題とNHS全面改革による厄介な傾向が始まったと医師のリーダーらは述べている。しかし政府はそうした関連はないと否定している。
 20,000人の患者を受け持つヨークのHaxby Practice が私的診療オプションについて患者に手紙を送ったことから問題が発覚した。
 多くのトラストの財源状況から見て、さらに多くのNHS治療が将来できなくなることが予想される。GPの利害対立と患者との信頼関係の破壊が心配される。

----------------------
NHSの終焉/英国医療事情
http://kurie.at.webry.info/201101/article_23.html
4つのNHS/英国医療事情
http://kurie.at.webry.info/200801/article_6.html
ポリクリニックはロンドンの医療改善の答えにはならない/英国医療事情
http://kurie.at.webry.info/200710/article_19.html
外国人医師に依存する英国医療
http://kurie.at.webry.info/200707/article_8.html
英国のガン5年生存率/英国医療事情
http://kurie.at.webry.info/200708/article_34.html
英国ではケネディ上院議員の脳腫瘍治療はできない?/米国医療事情 医療制度改革
http://kurie.at.webry.info/200908/article_17.html
オバマ大統領はどう医療制度改革をすべきか?(1)/米国医療事情
http://kurie.at.webry.info/200901/article_38.html

----------------------------------------------------
5 October 2011 Last updated at 10:23 GMT
Concerns over blurring of private-NHS lines
By Nick Triggle Health correspondent, BBC News
http://www.bbc.co.uk/news/health-15182186

画像Fears are being raised over a blurring of the lines between private and NHS care after news emerged of GPs targeting patients for private work.

A York-based practice has written to its patients offering them a range of minor treatments privately, claiming they are not funded by the local NHS.

Doctors' leaders said this could be the start of a worrying trend due to the squeeze on finances and NHS overhaul.
But the government denied the case was related to these factors.
It comes after the Haxby Practice in York, which serves 20,000 patients, wrote to some offering patients the option of having work done privately.

Savings
The letter, seen by the BBC, said local health chiefs had stopped funding a range of services, but added they could still have them done privately at a number of clinics, including one owned by the practice.
These included removing skin tags from £56.30 to treating benign tumours for £243.20.
In total, more than eight procedures were listed, although local NHS managers disputed claims that two of them had been banned.

Nonetheless, the case has prompted concern in the medical profession.
Royal College of GPs chairman Dr Clare Gerada said: "We believe that the boundary between what a GP offers under their NHS provision, and what is offered for a private fee, is in danger of becoming increasingly blurred.
"The NHS works because patients trust their doctors. This is especially so with GPs, and is something we cannot allow to be diminished."
Dr Richard Vautrey, of the British Medical Association, added: "The dire finances of many trusts means that many more NHS treatments are likely to become unavailable in the future.
"The BMA is very concerned by the potential conflicts of interest that this example exposes. The last thing any GP wants is to see patient trust damaged.
"Unfortunately the direction of travel in NHS policy, particularly combined with the financial situation, does increase the risk of conflicts of interest for GPs which is one the reasons the BMA is so concerned about the Health and Social Care Bill."

'Significant concerns'
The local NHS trust also expressed concern.
Dr David Geddes, medical director of NHS North Yorkshire and York, said: "We have significant concerns about this letter which we will be addressing with them directly and as a matter of urgency. We will then decide what further action is necessary.
"We were not made aware of this letter in advance. Had we been consulted we would have advised against its release."
He also pointed out that even in cases where treatments were not routinely provided, patients could still apply for NHS funding through the exceptional cases process.
A Department of Health spokeswoman said the policy changes being made did not make such cases more likely and instead took issue with the way patients had seemingly been approached.
"Advertising private healthcare options for the purpose of income generation is not an appropriate use of information provided by patients for the purposes of receiving NHS care. The code of conduct for the promotion of NHS-funded services makes this clear."
She added the Health Bill would actually end up strengthening the safeguards to prevent conflicts of interest as regulators will be charged with ensuring doctors stick to the rules.
But John McEvoy, managing partner at the Haxby Group, defended the move, pointing out that the letter had listed other private providers as well as the practice's own clinic.
"They had a choice to go elsewhere," he added.

テーマ

関連テーマ 一覧


月別リンク

ブログ気持玉

クリックして気持ちを伝えよう!
ログインしてクリックすれば、自分のブログへのリンクが付きます。
→ログインへ
気持玉数 : 2
なるほど(納得、参考になった、ヘー)
ガッツ(がんばれ!)

トラックバック(0件)

タイトル (本文) ブログ名/日時

トラックバック用URL help


自分のブログにトラックバック記事作成(会員用) help

タイトル
本 文

コメント(0件)

内 容 ニックネーム/日時

コメントする help

ニックネーム
本 文
NHSと私的医療の境界/英国医療事情 医師の一分/BIGLOBEウェブリブログ
文字サイズ:       閉じる