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NHS users should pay £10 a month, says former health minister


Payment per appointment has not been down to reduce burden on primary care. Germany tested similar model and referred back to free at point of care as it did not work. I believe the answer is the other way round. Patients will have health credit each year (say free 3 GP appointments and one AED/year, initiated by patient. Appointment initiated by GP is free) after which they are chargeable. Referral to secondary care is chargeable except for cancer. Patients with chronic disease will have to apply for exemption via social care funding and these will be reflected back in our global sum. We don't directly get involved in taking money from patients so no conflict of interest. And each patient would have electronic NHS card with central credit record, so it will solve the problem of eligibility to NHS treatment as well. Only problem? It won't be cheap to implement :-)

Posted date

31 Mar 2014

Posted time