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NHS Consultant Contract / Private Practice.


Manximus Aururaneus

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No. It actually lengthens the queue.

You can move ahead of the queue by going to a private consultation but eg surgery and after care can be on the NHS.

So if the surgery is done privately and there is no or minimal aftercare, it reduces the waiting list?

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9 minutes ago, ballaughbiker said:

So if the surgery is done privately and there is no or minimal aftercare, it reduces the waiting list?

Fortunately I'm no expert but presumably if the eg local NHS theatres are not heavily used then I guess so.

Otherwise it would need a private hossie as provided by the likes of Bupa.

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2 hours ago, Manximus Aururaneus said:

I would be interested to hear how you would 'ban private healthcare'?

The best way would be ensure that first rate care was available to everyone when they need it on the NHS rendering private health care obsolete but for the reasons I’ve already stated it won’t happen whilst the Bullingdon Club are running the country. 

Alternatively; enforced nationalisation of private hospitals and legislate. 

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1 hour ago, buncha wankas said:

Not always, rural location is affiliated to  a village in U.K. who in turn  is affiliated to a town who ultimately are affiliated with nearest city hospital facilities or regional, who are ultimately affiliated to a specialist selected facility even if it is 5 hours up the motorway. 

Costs to attend external locations are reimbursed to patient where relevant and treatment between trusts is joined up and financially efficient as they benefit each management teams.  

 

Worth discussing, is it time to get rid of deadwood? 

But we’re a separate jurisdiction and the UK NHS is under no obligation to provide specialist care to Manx residents so we have the pay either a massive annual fee or on a case by case basis. 

It’s always time to get rid of dead wood; I have heard a rumour that things may be happening in that area already but it is just a rumour and I’m in no position to elaborate. 

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On 4/27/2019 at 2:02 PM, MrPB said:

Our hospital seems to be wanting to drive away all consultants doing private work at the moment. Again flawed logic when it comes to ‘cost cutting’ 

Given a stategic aim of the Isle of Man is to attract (and retain!) high-net worths and entrepreneurs, there is a need for high quality private healthcare and education. Ignoring the societal views of state vs private, in theory - paid-for treatment should lesson the burden on the state healthcare and education systems. I emphasise in theory because I suspect doing so will require effective planning, management and a framework that balances the private customer, and the DHSC. 

While many see private healthcare as a privilege - unfortunately, many now view it as a necessity. 

I have paid for a number of private treatments (albeit minor) within my family, simply because the waiting lists were soooooo long...

 

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22 minutes ago, The Lurker said:

The best way would be ensure that first rate care was available to everyone when they need it on the NHS rendering private health care obsolete but for the reasons I’ve already stated it won’t happen whilst the Bullingdon Club are running the country. 

Alternatively; enforced nationalisation of private hospitals and legislate. 

I have to admit that I struggle to see what sort of legislation could be used to prevent private hospitals, medics and customers (business and private individuals) just taking their assets, skills and business elsewhere?

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Private healthcare has an important place, but when you are told there is a 22 month waiting list for an appointment at the eye clinic or you can go next week for £700 at the same place with the same consultant there is clearly and obviously something very wrong.

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The best way would be ensure that first rate care was available to everyone when they need it on the NHS rendering private health care obsolete but for the reasons I’ve already stated it won’t happen whilst the Bullingdon Club are running the country. 

You are Dennis Skinner and I claim my £5 :lol:

Seriously though, a politician remarked back in the 60s that the NHS could absorb the whole UK's GDP if you let it. Hyperbole maybe and I'm not making excuses for inefficiency but to have an available now, free for everyone system would cost an absolute fortune. People would still likely complain too.

 

 

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Alternatively; enforced nationalisation of private hospitals and legislate

All that would happen if that were the case, is that consultants and their patients would go to another country where such a myopic simplistic and utter control didn't exist ie sort of what Manximus said.

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Frankly I've no idea how you could actually measure it to find out.

You wouldn't have to measure it to find out.

I was on a waiting list at Nobles for something that had the potential to be sinister. After nearly a year without any contact, I decided to pay across rather than wait for something to become inoperable and to be decent, wrote to the Consultant to say that. Letter by return "'you are no longer my responsibility". 

My place would therefore have been taken by someone else, no?

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52 minutes ago, Manximus Aururaneus said:

I have to admit that I struggle to see what sort of legislation could be used to prevent private hospitals, medics and customers (business and private individuals) just taking their assets, skills and business elsewhere

There are very few medics that solely work  in the private sector and if they left it would be no loss; they need the NHS work to develop and maintain their skills. 

 

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