NHS 'should 告発(する),告訴(する)/料金 for some 操作/手術s'
Last updated at 23:23 29 January 2007
Cosmetic 外科 and many 決まりきった仕事 操作/手術s
should no longer be 解放する/自由な on the Health Service, it was 提案するd yesterday.
A group of NHS 経営者/支配人s said 患者s should be 告発(する),告訴(する)/料金d for "unproven" 治療s that
do not 意味ありげに 改善する their health.
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The 協会 of Directors of Public Health said most prescription 告発(する),告訴(する)/料金s should be dropped, 述べるing them as 不公平な and illogical.
But it 追加するd that the NHS should no longer routinely 支払う/賃金 for varicose vein 外科, tonsil and adenoid 除去, hysterectomy for 激しい
menstrual bleeding, homeopathy, 外科 on minor 肌 lesions such as moles, and carpal tunnel 外科 to 回復する feeling to the 手渡す.
The 協会 argues that the idea is not so 過激な because some NHS 患者s already 支払う/賃金 for dental work and prescriptions.
"薬/医学 and 治療 that people need for health 推論する/理由s should be 解放する/自由な," said Dr Tim Crayford, director of the 協会.
"But things that people want, where
there’s little proof of 臨床の 利益,
せねばならない have a price tag 大(公)使館員d."
He 追加するd that the NHS had always struggled financially to 会合,会う public 期待s and this プロの/賛成の-posal would help 確実にする that those
most in need received the 治療s
they 要求するd.
Dr Crayford said most prescription
告発(する),告訴(する)/料金s should be dropped.
"It seems 不公平な to 告発(する),告訴(する)/料金 for 高度に-効果的な 麻薬s like statins to lower cholesterol and 妨げる heart attacks, whilst not 非難する for
類似の 治療s that 申し込む/申し出 much
smaller 利益s," he said.
"Taking children’s tonsils out, for example, makes little difference to how many days they have off school or how many sore throats they
を煩う.
And there's strong 証拠 that, for many, it's better to 避ける 外科 on uncomplicated
varicose veins.
"If people had to 与える/捧げる to the cost of these things they would think twice before going ahead.
"There's often an 代案/選択肢, which is much いっそう少なく 高くつく/犠牲の大きい."
He said other 治療s, such as hip 交替/補充s, should continue to be 供給するd 解放する/自由な of 告発(する),告訴(する)/料金.
Dr Christoph 物陰/風下s, of Doctors for 改革(する), agreed that 告発(する),告訴(する)/料金s should be considered.
"The twin 圧力s of rising 患者 期待s and 限界s on 税金 基金ing mean that the gap between NHS 準備/条項 and 患者 需要・要求する will only grow in coming years.
"The danger is that, without 改革(する), only the better off will be able to 接近 modern 治療s by going 私的な," he said.
"With 改革(する), 伴う/関わるing a mixed 基金ing
system 伴う/関わるing co-支払い(額)s and 保険, a genuinely 全世界の/万国共通の service will be 利用できる to all."
Sally Penrose, 長,指導者 (n)役員/(a)執行力のある of the British Homeopathic 協会 主張するd there should be more homeopathy on the NHS, not いっそう少なく.
"This 提案 土台を崩すs a basic 原則 of healthcare that 患者s are partners in diagnosis, 査定/評価 and 治療," she said.
A 広報担当者 for the 患者s
協会 said: "A discussion on what should and what should not be 告発(する),告訴(する)/料金d is long 延滞の."
The Health Department 辞退するd to consider the 計画(する), 説 it would 土台を崩す the 根底となる
原則 of an NHS 解放する/自由な at the
point of use.
A 広報担当者 said it was "fully committed to a 公然と-基金d NHS which 配達するs healthcare
基金ing によれば 臨床の need,
not ability to 支払う/賃金."
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