The RADICAL Alternatives To A Broken NHS

[@HskyHardcan]

Dutch system is amazing. It's kind of private health insurance, but insurer must accept everyone and charge same price regardless of age. There is competition and flexibility to add voluntary supplement extras beyond basic care. However, what works so well is the insurers have an interest in both quality and cost, creating competition in the health care suppliers. This way value is delivered for health consumers. That said they spend far more than the UK per capita, but still something to take inspiration from

[@Poppy-fo3vs]

One thing you didn’t mention about increased use of private healthcare, is that medical training would have to radically change. How would private healthcare firms, who obviously are going to hoover up low risk, high yield procedures like hip replacements, going to provide equality of training opportunities compared to the NHS? They can’t, so doctors are still going to have to be trained in the NHS, and the government will spend millions of pounds training them, for them to just leave for higher pay and an easier life in the private sector. Alternatively if they are trained in the private sector then we will have doctors with a lot of specialised knowledge, but very few general skills. I don’t know how it would work unless private hospitals were forced to provide a full range of services in order to provide training.

[@drollie]

Totally agree and an important point to note

[@ix_9_ix]

could do a model like the US? in the US post graduate medical training is ran by academic instiutions, for example you can train at the Standford teaching hosptails to become a othropedic surgeon or a internal medicine physican.

[@ronanh.9261]

Thank you Dr Ollie!

[@adailyfact]

Dr Ollie, what do you think the odds are the NHS gets replaced, your own personal opinion?

[@drollie]

I don't realistically see the NHS being replaced anytime soon- but I can imagine some significant reforms to how certain aspects are managed

[@inbb510]

Doesnt France have a Carte Vital which is meant to reduce administrative costs (capped at 5% of the total medical cost per patient???)

[@cornwalldanielsen8889]

Some simple wins would be….cheapest generic drugs only on nhs-pay the difference for branded. Pay to book appointments in 1/2 care …lose if DNA. Refund if attended. Health care individualised budgets based on comorbidities…penalise frequent flyers.

[@drollie]

Definitely some ideas there that could hold water and genuinely help the NHS.

[@erfansharifi7969]

Do you think NHS will collapse?

[@drollie]

I really hope not..!

[@ArshiBlogkitchen]

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[@lucky2meetu]

Medical tiping coming soon

[@thesc8842]

The NHS is the best version of a health care system so far that i have seen, atleast it is was better than the health insurance company monopoly and crisis of prices in the United States

[@soniceight6924]

It has its advantages and disadvantages. In my view, the NHS is great for accessibility; however government bureaucracy makes healthcare innovations within the NHS slow compared to other private companies and the waiting times in a universal healthcare system is significantly higher than in private insurance healthcare based system. If successive governments, actually care about NHS by funding it properly this can help to reduce waiting times because many NHS stuff especially Junior Doctors are leaving to Australia because they feel they are being "unvalued"; maybe the NHS can get back into its feet and improve. There is a consensus, between both sides of the debate that the NHS is in crisis. In which, something needs to be done about it ASAP.

[@drollie]

I think that's a pretty good summary of the situation.

[@thesc8842]

@@soniceight6924 that's true

[@pierzing.glint1sh76]

Best when implemented correctly, which it most decidedly is not 😂 Basically it's a nice idea but it doesnt work in reality