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    by Albert Persaud and Geraint Day “fair trade in knowledge for health” This article is a revised and expanded version of written evidence submitted by Albert Persaud to the All Party Parliamentary Group on Primary Care & Public Health – of the United Kingdom Parliament – in 2013 for its inquiry into ‘The sustainability of the National Health Service (NHS): Is Bevan’s NHS under threat?’ Preamble For many people there may be three important pillars of British society: the weather, the monarchy and the NHS. Politicians can do little about the weather and even less concerning the monarchy, so the NHS has become a politicians’ […]
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    What is rationing / priority setting? Rationing and priority setting are referred to somewhat interchangeably within the literature, with little focus on the actual terminology, and more upon the outcome of priority setting and its impact upon healthcare.  Priority setting, “a more or less systematic approach to distributing the available resources among demands”, can lead to rationing of care, defined as “a failure to offer care, or the denial of care, from which patients would benefit”. Rationing can also be defined as any form, either implicitly or explicitly, of allowing people to “go without beneficial services” due to constrained costs. […]
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    Many in the discussion would wish you to concentrate on the phrase, “free-at-the-point-of-use”. This is the idea that you a patient does not pay for any treatment. Many also do not understand the Health and Social Care Act (2012). There are many in the social media at large who feel that the NHS needs to face change in improving the service, and indeed point to crises within the NHS as examples of a failing service. It is critical that the NHS can learn from its mistakes, in terms of its operations, strategy and leadership. However, the Act’s primary purpose is […]
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