Because the NHS was founded to provide equal access to all on the basis of need rather than the ability to pay, price was eliminated as a method of bringing demand for services into line with supply. This means that the Government has to make decisions about the amount of ...
This publication is a comprehensive review of health care and policy issues. It includes a detailed description of health events in the last twelve months, as well as discussion of key policy issues. Specific areas dealt with in this issue include: influencing the diffusion of new medical technologies; the future ...
How to ration health care is perhaps the most contentious issue currently facing the NHS. The debate is polarised between the view that decisions over rationing should be more explicit, systematic and democratic, and those who argue that such strategies are unrealistic and fail to understand both how the NHS ...
This paper presents the issues relating to rationing in the NHS. The group holds the view that rationing is unavoidable and feels that there should be a more explicit debate about the principles and issues involved. Questions are considered under four headings: preliminaries, ethics, democracy and empirical questions. The preliminaries ...
The changes in the NHS mean that clinicians will have to accept the need for explicit rationing rather than shirking the issue with reference to clinical decision making. The current system of implicit rationing will be replaced by one which bases resource allocation on explicit criteria. However there are problems ...