The internal market’s billing system is not only costly and bureaucratic, the theory that underpins it is absurd. Why should a bill for the treatment of a patient go out to Oldham or
Oxford, when it is not Oldham or that pays the bill — there is only one person that picks up the tab: the taxpayer, you and me.
…….Instead let them help the NHS do what it does best — treat patients, and do so efficiently and economically without the crucifying expense and ridiculous parody of competition.
Prof Waxman in an earlier post.
There is little doubt in my mind that it is unwise to upset Bevan: The
Curse of Nye Bevan usually strikes down anyone who badmouths the NHS.
Attempts to badmouth our Hospitals
and their A & E department did not seem to put people off and attendances
continue to climb.
But whoever is doing it better watch
out. Bevan’s Curse is for real.
This is not on when you have an
internal market system. Through A & E, Hospitals can admit patients without
a referral and believe you me, whatever anyone might say the CEOs of FT
Hospitals are quite pleased with that.
For CCGs, it is becoming uncontrollable.
All Hospital Avoidance tactics will not work. Funding will flow uncontrolled to
I have written about this earlier and
I will simply reprint them. It is more true now than ever.
NHS A & E: Unpredictable, Unruly & Ungainly
Dr David Bennett is head of Monitor and is NOT a medical doctor.