Concerns over blurring of private-NHS lines


By Nick TriggleHealth correspondent, BBC News


GPs in York have targeted patients for private work


Fears are being raised over a blurring of the lines between private and NHS care after news emerged of GPs targeting patients for private work.

A York-based practice has written to its patients offering them a range of minor treatments privately, claiming they are not funded by the local NHS.

Doctors’ leaders said this could be the start of a worrying trend due to the squeeze on finances and NHS overhaul.

But ministers denied the case was related to these factors.

It comes after the Haxby Practice in York, which serves 20,000 patients, wrote to some offering patients the option of having work done privately.


The letter, seen by the BBC, said local health chiefs had stopped funding a range of services, but added they could still have them done privately at a number of clinics, including one owned by the practice.

These included removing skin tags from £56.30 to treating benign tumours for £243.20.

In total, more than eight procedures were listed, although local NHS managers disputed claims that two of them had been banned.

“The dire finances of many trusts means that many more NHS treatments are likely to become unavailable in the future”

Richard VautreyBritish Medical Association

Nonetheless, the case has prompted concern in the medical profession.

Royal College of GPs chairman Dr Clare Gerada said: "We believe that the boundary between what a GP offers under their NHS provision, and what is offered for a private fee, is in danger of becoming increasingly blurred.

"The NHS works because patients trust their doctors. This is especially so with GPs, and is something we cannot allow to be diminished."

Dr Richard Vautrey, of the British Medical Association, added: "The dire finances of many trusts means that many more NHS treatments are likely to become unavailable in the future.

"The BMA is very concerned by the potential conflicts of interest that this example exposes. The last thing any GP wants is to see patient trust damaged.

"Unfortunately the direction of travel in NHS policy, particularly combined with the financial situation, does increase the risk of conflicts of interest for GPs which is one the reasons the BMA is so concerned about the Health and Social Care Bill."

‘Significant concerns’

The local NHS trust also expressed concern.

Dr David Geddes, medical director of NHS North Yorkshire and York, said: "We have significant concerns about this letter which we will be addressing with them directly and as a matter of urgency. We will then decide what further action is necessary.

"We were not made aware of this letter in advance. Had we been consulted we would have advised against its release."

He also pointed out that even in cases where treatments were not routinely provided, patients could still apply for NHS funding through the exceptional cases process.

Health minister Paul Burstow said the policy changes being made did not make such cases more likely and instead took issue with the way patients had seemingly been approached.

"Patients’ confidential clinical information should not be used for marketing purposes. Whilst GPs may decide to provide private healthcare services, it is not appropriate for them to use information about patients collected through the delivery of NHS services to market private services."

But John McEvoy, managing partner at the Haxby Group, defended the move, pointing out that the letter had listed other private providers as well as the practice’s own clinic.

"They had a choice to go elsewhere," he added.

NHS shake-up

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