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Thursday, 9 December, 1999, 09:32 GMT
BMA launches review of NHS funding
The British Medical Association (BMA) has announced a major review of healthcare funding in the UK. Doctors, patients groups and politicians will be among those invited to contribute to the BMA's review - the first to be carried out by the organisation since the 1980s. Dr Ian Bogle, chairman of the BMA, said all options, including charging NHS patients, would be considered in the review.
Doctors claim they are being blamed for problems caused by a lack of resources when they are facing greater pressures than ever before. Dr Bogle told the BBC: "Realistically, we can't go on like this. Patients are not getting the service they deserve. Doctors are working harder and harder, the intensity of work is much greater. "We need to look at all possibilities. We need to look at a comprehensive review of how we resource the health service, what the health service should provide and what the health service maybe should not provide." Patient fees were, he said, "one of many options", but the review was starting with a "blank sheet of paper".
The drugs bill is increasing at a rate of 9% per year. New technologies and an ageing population are likely to make that worse. Dr Bogle highlighted the case of GP who had spent less than both the local and national average on drugs for his patients, only to be told by his health authority that he had overspent on his drugs budget. He said pressure of work also meant that GPs had little time to spend with individual patients. At his Liverpool surgery it was common for patient consultations to last just three minutes at the end of morning surgery. The BMA is also alarmed at allegations that seriously ill elderly patients are being denied food and water, partially because of intense pressure on NHS beds. Difficult questions
Dr Bogle added: "We might get some answers to questions that have been asked over the past decade." Stephen Thornton, chief executive of the NHS Confederation, which represents NHS trusts and health authorities, admitted the NHS was going through a tough time. But he said: "I really don't think this is the time to give some credence to some potential funding solutions that might actually undermine the fundamental principles of the NHS. "It is there to provide free care to people regardless of people's ability to pay, and to meet everybody's reasonable needs." Mr Thornton said public funding was the most cost efficient way to finance a healthcare system. "We just need our government to fund our NHS to the same kind of level that health services receive in, say, France and Germany." |
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