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From: Peter C on 30 Mar 2008 07:04
"Patients with acute conditions like multiple sclerosis and diabetes could
get control of their own NHS budgets to buy treatment, the government has
said.

The Department of Health confirmed it was considering the plan, aimed at
long-term sufferers in England.

A DoH statement insisted patients would not be given cash, and that no money
would leave the NHS under the scheme. "

Could be stealthy cost-cutting exercise.

http://news.bbc.co.uk/1/hi/health/7321147.stm


From: Andy Hall on 30 Mar 2008 08:17
On 2008-03-30 12:04:00 +0100, "Peter C" <petercy(a)hotmail.co.uk> said:

> "Patients with acute conditions like multiple sclerosis and diabetes could
> get control of their own NHS budgets to buy treatment, the government has
> said.
>
> The Department of Health confirmed it was considering the plan, aimed at
> long-term sufferers in England.
>
> A DoH statement insisted patients would not be given cash, and that no money
> would leave the NHS under the scheme. "
>
> Could be stealthy cost-cutting exercise.
>
> http://news.bbc.co.uk/1/hi/health/7321147.stm

Might be. OTOH, it would be even better if the money didn't go in in
the first place to the same degree and patients could make their own
choices using money that they will have been able to keep.

Of course this does all beg the question of what proportion of patients
are well enough informed about and understand their medical conditions
and indeed are motivated to act in their own best interests if it's
difficult.


From: Nicky on 30 Mar 2008 10:16
On Sun, 30 Mar 2008 11:04:00 GMT, "Peter C" <petercy(a)hotmail.co.uk>
wrote:

>"Patients with acute conditions like multiple sclerosis and diabetes could
>get control of their own NHS budgets to buy treatment, the government has
>said.
>
>The Department of Health confirmed it was considering the plan, aimed at
>long-term sufferers in England.
>
>A DoH statement insisted patients would not be given cash, and that no money
>would leave the NHS under the scheme. "
>
>Could be stealthy cost-cutting exercise.
>
>http://news.bbc.co.uk/1/hi/health/7321147.stm
>

Could be pretty interesting, in more ways than one. Could I choose my
favourite optician with a digital camera? Could I decide to buy test
strips? Would I get performance-related bonuses for good A1cs? Would I
have a yearly, or a lifetime budget? What happens if I run out of
dosh? I think I'll add this topic to my news-clippings service!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6% BMI 25
From: Andy Hall on 30 Mar 2008 10:52
On 2008-03-30 15:16:21 +0100, Nicky <ukc802466929(a)btconnect.com> said:

> On Sun, 30 Mar 2008 11:04:00 GMT, "Peter C" <petercy(a)hotmail.co.uk>
> wrote:
>
>> "Patients with acute conditions like multiple sclerosis and diabetes could
>> get control of their own NHS budgets to buy treatment, the government has
>> said.
>>
>> The Department of Health confirmed it was considering the plan, aimed at
>> long-term sufferers in England.
>>
>> A DoH statement insisted patients would not be given cash, and that no money
>> would leave the NHS under the scheme. "
>>
>> Could be stealthy cost-cutting exercise.
>>
>> http://news.bbc.co.uk/1/hi/health/7321147.stm
>>
>
> Could be pretty interesting, in more ways than one. Could I choose my
> favourite optician with a digital camera? Could I decide to buy test
> strips?

Why not to both?

> Would I get performance-related bonuses for good A1cs?

Or perhaps improvement in or maintenance of good A1cs?

> Would I
> have a yearly, or a lifetime budget? What happens if I run out of
> dosh?

... and would it include treatment for complications?

Considering that there's forward thinking of about ten minutes, it's
safe to assume that budget would be annual, always assuming that it is
a budget in the commonly understood money sense or more a set of
choices on where one can go for treatment and management.


From: John Williamson on 30 Mar 2008 13:52
Andy Hall wrote:
In reply to Nicky saying...
>> Would I
>> have a yearly, or a lifetime budget? What happens if I run out of
>> dosh?
>
> .. and would it include treatment for complications?
>
> Considering that there's forward thinking of about ten minutes, it's
> safe to assume that budget would be annual, always assuming that it is a
> budget in the commonly understood money sense or more a set of choices
> on where one can go for treatment and management.
>
>
<Cynic mode on>
The way the government work it'll probably be "You've got "X" pounds
allocated for lifetime medical treatment at birth. Any extra, you pay",
then they'd set the figure at a lowish percentage of the average
lifetime figures.
<Cynic mode off>

--
Tciao for Now!

John.
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