Your browser isn't supported
It looks like you're using an old web browser. To get the most out of the site and to ensure guides display correctly, we suggest upgrading your browser now. Download the latest:

Welcome to the MSE Forums

We're home to a fantastic community of MoneySavers but anyone can post. Please exercise caution & report spam, illegal, offensive or libellous posts/messages: click "report" or email forumteam@.

Search
  • FIRST POST
    • 50Twuncle
    • By 50Twuncle 9th Feb 18, 2:15 PM
    • 8,008Posts
    • 1,865Thanks
    50Twuncle
    NHS Resources
    • #1
    • 9th Feb 18, 2:15 PM
    NHS Resources 9th Feb 18 at 2:15 PM
    I don't know whether this is just something that happens in my area - or nationwide
    But different NHS trusts use their own resources - they refuse to share them with next door trusts
    I live in a largish town but my GP is just across the county border - in the next (smaller) town
    My large town has it's own MRI scanners/Physio support etc etc

    But, because my GP is in the next trust area (5 miles away) - I have to travel 40 miles for an MRI scan

    Why can't trusts share resources ?
Page 1
    • BorisThomson
    • By BorisThomson 9th Feb 18, 2:32 PM
    • 1,003 Posts
    • 1,973 Thanks
    BorisThomson
    • #2
    • 9th Feb 18, 2:32 PM
    • #2
    • 9th Feb 18, 2:32 PM
    Services are commissioned by your CCG (Clinical Commissioning Group). They effectively buy services, which may or may not be in your area.

    The answer to your question is cost. If the services in your area are the most cost effective then the CCG will commission them. If they are more cost effective elsewhere, or cannot be provided within your area, they will commission them elsewhere, possibly in the private sector.
    • 50Twuncle
    • By 50Twuncle 9th Feb 18, 2:38 PM
    • 8,008 Posts
    • 1,865 Thanks
    50Twuncle
    • #3
    • 9th Feb 18, 2:38 PM
    • #3
    • 9th Feb 18, 2:38 PM
    Services are commissioned by your CCG (Clinical Commissioning Group). They effectively buy services, which may or may not be in your area.

    The answer to your question is cost. If the services in your area are the most cost effective then the CCG will commission them. If they are more cost effective elsewhere, or cannot be provided within your area, they will commission them elsewhere, possibly in the private sector.
    Originally posted by BorisThomson
    I was actually scanned in a "private" MRI suite, 40 miles away - surely, it would have been cheaper to use the MRI scanner in my local hospital - which is in a different trust area to my GP - but also only a mile away from my home ?
    • BorisThomson
    • By BorisThomson 9th Feb 18, 3:29 PM
    • 1,003 Posts
    • 1,973 Thanks
    BorisThomson
    • #4
    • 9th Feb 18, 3:29 PM
    • #4
    • 9th Feb 18, 3:29 PM
    I was actually scanned in a "private" MRI suite, 40 miles away - surely, it would have been cheaper to use the MRI scanner in my local hospital - which is in a different trust area to my GP - but also only a mile away from my home ?
    Originally posted by 50Twuncle
    Cheaper to the CCG or to you?

    If the private MRI suite offered a lower price to the CCG, then all other things being equal, they should get the contract.
    • 50Twuncle
    • By 50Twuncle 9th Feb 18, 3:42 PM
    • 8,008 Posts
    • 1,865 Thanks
    50Twuncle
    • #5
    • 9th Feb 18, 3:42 PM
    • #5
    • 9th Feb 18, 3:42 PM
    Cheaper to the CCG or to you?

    If the private MRI suite offered a lower price to the CCG, then all other things being equal, they should get the contract.
    Originally posted by BorisThomson
    I would guess both - my MRI would have cost the CCG £900 - If the charges on a leaflet that I saw rang true - this would presumably be mostly profit - my local hospital MUST have been cheaper - if not then the private company must be doing something wrong...
    • BorisThomson
    • By BorisThomson 9th Feb 18, 5:56 PM
    • 1,003 Posts
    • 1,973 Thanks
    BorisThomson
    • #6
    • 9th Feb 18, 5:56 PM
    • #6
    • 9th Feb 18, 5:56 PM
    I would guess both - my MRI would have cost the CCG £900 - If the charges on a leaflet that I saw rang true - this would presumably be mostly profit - my local hospital MUST have been cheaper - if not then the private company must be doing something wrong...
    Originally posted by 50Twuncle
    No, the CCG will pay a much lower rate as they'll buy in bulk.
    • 50Twuncle
    • By 50Twuncle 9th Feb 18, 7:16 PM
    • 8,008 Posts
    • 1,865 Thanks
    50Twuncle
    • #7
    • 9th Feb 18, 7:16 PM
    • #7
    • 9th Feb 18, 7:16 PM
    No, the CCG will pay a much lower rate as they'll buy in bulk.
    Originally posted by BorisThomson
    Yes - but an NHS hospital must be cheaper ?
    • GlasweJen
    • By GlasweJen 9th Feb 18, 7:51 PM
    • 6,401 Posts
    • 11,540 Thanks
    GlasweJen
    • #8
    • 9th Feb 18, 7:51 PM
    • #8
    • 9th Feb 18, 7:51 PM
    Yes - but an NHS hospital must be cheaper ?
    Originally posted by 50Twuncle
    Your neighbouring trust will have other considerations to juggle. If they're lending out their mri appointments to their neighbours (i.e. everyone from your area) then people from their own area will be waiting longer for scans and breaching waiting times. Additionally the hospitals trusts aren't always quick at paying their bills to each other, if they ever do which makes hospitals reluctant to lend out their slots to previous offenders.

    This is a huge issue where I'm from. I grew up on the border between nhs glasgow and nhs Lanarkshire and have always been treated in nhs glasgow hospitals. Nhs glasgow eventually got tired of nhs Lanarkshire clogging the glasgow system and started pushing back the Lanarkshire patients by being much more strict with post codes and refusing to see Lanarkshire patients without a special circumstance and a guarantee of the funding being in place. Lanarkshire patients aren't happy as they are used to the glasgow system and in most cases live closer to the glasgow hospitals. Its now years down the line and nhs Lanarkshire patients still travel miles to present to Glasgow A&E departments rather than go the the Lanarkshire A&E. My mum would rather crawl to Glasgow Royal than phone an ambulance as they'd take her to Monklands. When my sister was pregnant my mum seriously begged her to move in with me so she could give birth in a glasgow hospital and not Wishaw General.
    Last edited by GlasweJen; 09-02-2018 at 10:06 PM.
    Bounts, Quidco, Shop and Scan, Receipt Hog, Costco Cashback, Debit card cashback

    NOT BUYING IT
    (unless it's on offer and can get my loyalty points)
    • clairec79
    • By clairec79 10th Feb 18, 5:35 PM
    • 2,326 Posts
    • 6,224 Thanks
    clairec79
    • #9
    • 10th Feb 18, 5:35 PM
    • #9
    • 10th Feb 18, 5:35 PM
    of course if you changed to the GP in your town, and therefore trust you'd be sent there for any tests
Welcome to our new Forum!

Our aim is to save you money quickly and easily. We hope you like it!

Forum Team Contact us

Live Stats

2,660Posts Today

8,762Users online

Martin's Twitter