3 ms·
Queues are a result of mentioned instruments. Say a hospital has a CT scanner capable of 10 scans per day, 3,5k scans per year. NHS pays for 500. A hospital can
by friendzis 9y ago
Queues are a result of mentioned instruments. Say a hospital has a CT scanner capable of 10 scans per day, 3,5k scans per year. NHS pays for 500. A hospital can fully utilise the scanner and blow their yearly budget of publicly funded scans in two monts, do 10 free scans a week or do 8 scans and save 2 for emergencies. Placing more scanners does not reduce queues.
- pjc50 9y agoThe CT scanner is usually owned by the NHS trust, which makes the marginal cost of using it rather small. It's almost the other way round: having bought a big capital asset, the incentive is to make sure it's kept busy being used effectively. The NHS "internal market" obfuscates this hugely, but there is still no incentive to over-provision because the system can't drive up external insurance costs. See e.g. https://books.google.co.uk/books?id=RyJfEbwGwgkC&pg=PA4&lpg=PA4&dq=nhs+owned+ct+scanners&source=bl&ots=QK5hgf30r-&sig=bgQA8-ePsnAAwQ-tUJfYFfL3Qak&hl=en&sa=X&ved=0ahUKEwi7q9bq4LDUAhVPKFAKHWLtDto4ChDoAQhOMAg#v=onepage&q=nhs%20owned%20ct%20scanners&f=false https://books.google.co.uk/books?id=RyJfEbwGwgkC&pg=PA4&lpg=... (random googling found confirmation of this in someone's FOI request: www.heartofengland.nhs.uk/wp-content/uploads/FOI4797.docx )