There's little doubt this is about scrapping the NHS and replacing it with a US model where insurance companies control the process. The Guardian:
The FSSA, which represents about 15,000 surgeons, says it is "concerned that lists of surgical procedures and interventions, deemed of low clinical effectiveness or of 'lower value', are being used by PCTs to limit access to certain procedures … Review of the lists reveals that there is little or no evidence to support the view that many of the procedures are of limited value to individual patients".
The unprecedented statement goes on: "For example, the lists include types of hip, spinal, ENT [ear, nose and throat], dental, bariatric [obesity] and cancer surgery for which there is overwhelming evidence of benefit. The only justification for these lists can be that they are a means of reducing expenditure at a time when the NHS faces a financial crisis."
The surgeons' move highlights the fact that PCTs across England are increasingly delaying or denying patients access to surgery to repair a hernia, replace an arthritic hip or knee, and remove cataracts, infected tonsils, gallstones, wisdom teeth, adenoids and varicose veins. Some are even restricting the number of patients who can have a hysterectomy or have their baby in a planned caesarean section. Surgeons, heath charities and patients' groups are increasingly frustrated that PCTs are introducing what they regard as arbitrary lists of treatments of supposedly low or no clinical value despite medical evidence that many help relieve patients' symptoms.
