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> That is NOT the same thing as NHS, which completely takes over and provides the care. There's loads of reasons to dislike NHS care and it's genuinely weird t
by DanBC 4y ago
> That is NOT the same thing as NHS, which completely takes over and provides the care.
There's loads of reasons to dislike NHS care and it's genuinely weird that people who are so against the NHS never manage to hit on something real, and instead resort to stuff that's simply fiction.
NHS England spends billions commissioning care from private providers. That's why we have Priory Group, Cygnet, Operose, etc etc all providing care. (And in the case of cygnet and priory, often poor quality care).
And patients have a right to chose where to get their care - that's what chose and book is.
People who don't understand the NHS think it's a single organisation -which is what you've done here- and that's not correct. Patients have a choice of where they get elective care. NHS England commissions specialist services, and 42 ICSs commission the bulk of regular services. They're not allowed by law to have a preference for NHS providers, so if a private provider can do it for the money they should put a bid in. That commissioned care is provided by about 200 - 220 NHS trusts. NHS Trusts include ambo services, acute hospitals, community hospitals, mental health care, and community care. These NHS trusts are independent organisations that have their own boards of directors and their own accounts and they can compete against each other to provide services to particular regions. This does not include primary care which is provided by GP surgeries.
- smcl 4y agoSo the criticism here is when talking about "The NHS" as a free-at-the-point-of-use system, I didn't also go into variety of contractors that are now involved and specifically the NHS Trusts that exist in NHS England which I have never encountered having spent 25 years of my life in Scotland so I can't really talk about personally? And how exactly would that have improved this discussion with "phpisthebest" who seems to be against the very idea of insurance altogether, given that they have the means to take care of all their healthcare needs in cash (for now), and who thinks that everyone else should really see bankruptcy as a sort of spiritually cleansing and enriching experience?
- spiralx 4y ago> This does not include primary care which is provided by GP surgeries. Which are and have always been private businesses operating as NHS contractors - this was actually the concession the post-war government had to make in order to get the British Medical Association onboard with the NHS. And recent surveys indicate GPs are against any change to their private status.