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Gold, incentives and meh

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Dealing with a patient angry about rationing


Privately, a vasectomy in the UK costs usually £400 to £600 though can be double that or more. The NHS cost is reckoned to be about £250. Vasectomy lasts 'forever'. Nexplanon, increasingly routine, costs (basic NHS price and for the drug alone) £84 every 3 years. Have areas with a vasectomy ban also banned use of Nexplanon? Probably not, I suspect, as that would slightly reduce a woman's 'right to choose', and we could not have that! I would be entirely sympathetic with Mr Angry, point out that there is no point in my referring as 'they' will refuse to accept the referral, but offer to waste a couple of minutes in making the pointless referral if he really wanted. Even if a referral were made, it would probably save time in the consultation and either way would certainly improve the patient relationship. One might have expected a CCG with such bans to produce information sheets for GPs to give to affected patients, clarifying that it is not the GP's decision or choice.

Posted date

02 Nov 2017

Posted time