Time bomb Financial Mail (subscription), South Africa - Nov 28, 2008 Policy implementation still remains patchy and access to Aids drugs and services is a post-code lottery. As much as SA has shed its dissident stance, ...
You live or die - who chooses? Times Online, UK - Nov 8, 2008 At the time, the drug was only available to those in certain areas ? the ?postcode lottery?. The controversy was based not just on expense but potential ...
Neston Rotarians help local boy - find out how you can help too AboutMyArea, UK - Nov 26, 2008 A classic example of the "postcode lottery" - if the family lived in some other parts of the UK, the NHS would pay. So, for the past 4 years the family have ...
Some trusts 'repairing only one in four hip fractures within ... Telegraph.co.uk, United Kingdom - Nov 18, 2008 By Kate Devlin, Medical Correspondent Wide variations in the length of time of waits across the country expose the "postcode lottery" in care for patients, ...
'The tumour's grown... and I'm running out of time' Stoke & Staffordshire, UK - Nov 20, 2008 NICE chairman Sir Michael Rawlins agreed it was "obscene" that a postcode lottery was still in operation but said it was prevented by law from looking at ...
Cutbacks deprive over 400 patients of surgery, say Navan doctors Meath Chronicle, Ireland - Nov 19, 2008 ?In Britain, it?s known as postcode lottery,? he said. Since the HSE announced the closure of the orthopaedic unit from the end of this week until sometime ...
I?d be dead if I hadn?t paid for my own cancer drugs Worcester News, UK - Nov 12, 2008 ?It was a postcode lottery. But you have to lift yourself up and be positive and live with it, not die with it. The issue should be in the hands of the ...
Cancer sufferer fears new fight for wonder drug The Argus.co.uk, UK - Nov 17, 2008 ?The PCT has no plans for Mr Ross to go through court again.? What do you think of the postcode lottery for NHS drugs? Have your say below.
Macmillan Cancer Support slams too-slow Primary Care Trusts Hereford Times, UK - Nov 10, 2008 It also wants cancer specialists to sit on panels making decisions and an end to the ?postcode lottery? deciding who does and does not get the drugs. ...
Source: Google News
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UK medical chief warns over "postcode lottery"
LONDON - Patients face "disturbing" differences in the quality of their National Health Service care depending on where they live, Britain's top medical adviser said on Friday.
In his annual public health report, Chief Medical Officer Sir Liam Donaldson condemned the "postcode lottery" which persists in the NHS, despite government pledges to tackle the problem. "There are too many variations that cannot be explained by the needs of patients," he said. "Inappropriate variation runs contrary to the moral contract agreed in 1948 between the NHS and the public." Donaldson challenged health chiefs to "reaffirm their commitment to the principle of equity" to give patients across the country a fairer service.
He blamed the problems on a lack of resources in some areas, wasteful practices and poor choices of treatment by doctors.
Heart disease, hysterectomies and the removal of tonsils are among the areas where treatment varies widely, he added.
The NHS is back at the top of the political agenda as it nears its 60th anniversary in 2008.
Financial deficits in NHS trusts, job cuts and wide-ranging reforms have sparked angry protests from unions and NHS staff.
Prime Minister Tony Blair has pledged to make reforms he says are needed to bring the NHS into the 21st century.
Donaldson said more money must be spent on preventing illness rather than just ploughing funds into acute services for people in hospital.
The delivery of public health services across the country is a concern," he said.
His report called for tighter controls to improve patients' safety. Doctors should look to the "strong safety culture" that pervades airlines and airports.
"Aviation has a much better record on safety than the healthcare industry," Donaldson said. "Much can be learned from them."
Doctors must overcome their opposition to standardised ways of performing high-risk procedures, he said, even if they fear it would make their job "like working in a factory".
The NHS has a workforce of some 1.3 million, making it the largest employer in Europe, with an annual budget of more than 80 billion pounds.
