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Royal college criticises CCGs for rationing services

The Royal College of Surgeons has written to six CCGs to criticise proposals to restrict referrals for several surgical procedures.

The CCGs in Birmingham, which serve over two million patients, plan on placing thresholds on referrals for hip and knee replacement and hernia operations as well as back pain treatment, among others.

In a letter addressed to the chairs of the CCGs, the RCS urged them to reconsider their policies, warning that such a restriction on surgical referrals would ‘act as a barrier to patients receiving necessary clinical treatment.’

The letter added: ‘Some policies are presented as if they are supported by clinically-evidenced guidance but in fact contravene this guidance.’

Last July, Pulse revealed that some GPs are facing increasingly tighter restrictions on their ability to refer patients for specialist care by cash-strapped CCGs.

Readers' comments (8)

  • All part of the plan - all those failed Doctors in GP land "running the show" and deciding to leave all these poor souls suffering to pay for another set of clubs!
    I assume RCGP will set the other colleges straight as to what CCGs actually are and why they were set up to fail….
    May be too busy encouraging the young trainees to screw up their lives and dive into the cesspit that is UKGP.

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  • The NHS is collapsing from unfettered demand; rationing is the only strategy that will allow the NHS to survive.
    Perhaps the RCS would rather see the NHS collapse?

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  • NHS =/= universal healthcare. If it can't cover appropriate options in a wealthy country then perhaps another mechanism for funding healthcare is needed.
    Collapse of NHS doesn't mean all doctors will spontaneously combust.

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  • Practice Manager

    Surely they realise that's it's the Government cuts that is the root cause being CCGs having to restrict services?

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  • Obviously rcs should direct all criticism to the real culprits at doh with massive underfunding and ideological waste of so much of said inadequate funding
    Ccgs should do the same and inform all practices and gps to direct all complaints to the imbecile runt
    Stop being patsies to his deliberate plan to avoid his responsibilities

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  • There seems to be the equivalent of cardies in the Royal College of Surgeons.I wonder what the nick name for these folk should be!Jeremys!They need to get with the plan CCG have been set up to fail,the treasury controls the purse strings not the CCGs.CCGs have to do what they are told by NHSE.NHSE have to do what the are told be DOH.DOH have to do what they are told by the treasury.RCOS go to the top, the government or do you want gongs as well!

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  • Public services and the NHS specifically are the equivalent to the Hunger Games - a fight to the death to see who survives.

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  • Contrary to the vacuous drivel of @10:07, CCGs are not run by "failed doctors".In my experience,as a GP CCG Exec, they are run by dedicated senior GPs who want to use their experience to seize the opportunity given to GPs to transform local health care on behalf of their patients.I worked with a fantastic team of GP colleagues and NHS managers.
    This work attracts some GPs but not others,and I acknowledge that few may be interested in reforming the £500,000 spend in my CCG on sip feeds, but look at it another way: I am sure you could all tell me better ways to use that £500,000.
    Reducing the type of procedures funded? Given that the NHS is a broken system and failed paradigm, it is inevitable that we cannot fund everything.If you have sore knees and a BMI of 50, the answer is not surgery, but a padlock on the fridge.

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