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Patient pledge card

Below is the patient pledge card to block referrals to private providers developed by Keep Our NHS Public

patient card front

patient card back


The card reads:


Dear Dr…

I wish to exercise the “choice” repeatedly offered to me by Government ministers during the run-up to, and passage of, the Health and Social care Act (2012).

I wish to be offered tests, treatment and care from NHS providers only and not from private companies contracted to the NHS (unless a service is not available from an NHS provider). The NHS should always be the preferred provider.

Please could my notes be tagged “NPP” or “No Private Providers” so that my choice is explicitly clear on all my records and whenever a referral is made by the practice.

Thank you for your co-operation.

Readers' comments (6)

  • Patients feel disempowered- hundreds of thousands of people signed e-petitions, sent letters to MPs and Lords, blocked bridges, marched, organised community meetings, spoke to their GPs. Even before the Act went through, private provision was being foisted on CCGs and local communities, against doctor and patient wishes. The postcards are an inspired idea which say to CCGs that patinets want to keep the NHS publicly provided, and will support their CCGs to fight for the NHS

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  • The "government" has stopped using the word "choice" now. No wonder, because it looks like the choice is diminishing to become Virgin, Circle or Serco and, if you're lucky, NHS Brand.

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  • Aren't GPs private contractors to the NHS? Presumably if the BMA decides to support this initiative then they will also wish to see all GPs employed directly by the NHS, otherwise aren't they going to be somewhat 'hoist by their own petard'?

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  • The NHS was essentially privatised at its inception in 1948 with the historic compromise agreement that GPs could remain independent businesses and not become salaried employees. We forget history at our peril. The sooner patients realise how the NHS really works and see themselves as customers making better choices together with clinical advice and support from primary care clinicians of all types, the better. Will someone signing a "NPP" card refuse an urgent care home visit from a contracted OOH provider after ringing 111? I suspect not.

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  • Other contributors quite correctly make the point that GPs are private contractors. The BMA seem to be going off on a political tangent that is completely contradictory. The BMA should note that some of its GP members, actually wish to provide additional private services. Some of my patients have had excellent service from private providers recently. Why would I discourage them from using these options?
    The BMA has already had to climb down over pensions this year, please let us not see them make further fools of themselves by pursuing this.
    I will certainly not be wasting my time giving out these silly cards which will only create more work for me and will limit patient choice.
    Look after your members interests BMA instead of sabre rattling - it is pathetic.

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  • Excellent idea!

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