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Include follow-ups in private care packages

The problem with private screening is that currently all the resulting necessary - and often unnecessary - follow-up is left to the NHS ('GPs cope with fallout from private screening explosion', pulsetoday.co.uk/news).

This creates a two-tier healthcare structure and must disadvantage those unable to afford the initial private screening.

The solution is making it the legal responsibility of the private providers and/or the patient to fund this follow-up, to make it clear the NHS can't.

While this raises case-by-case issues regarding exactly when the NHS should get involved, in essence people should be purchasing not just the initial investigation but in effect a 'mini-health insurance package' for that duration of care to a conclusion - not dissimilar to travel insurance.

From Dr Damian Smith, Isle of Man

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