We’d like to remind Forumites to please avoid political debate on the Forum.
This is to keep it a safe and useful space for MoneySaving discussions. Threads that are – or become – political in nature may be removed in line with the Forum’s rules. Thank you for your understanding.
📨 Have you signed up to the Forum's new Email Digest yet? Get a selection of trending threads sent straight to your inbox daily, weekly or monthly!
The Forum now has a brand new text editor, adding a bunch of handy features to use when creating posts. Read more in our how-to guide
NHS Resources
50Twuncle
Posts: 10,763 Forumite
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 ?
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 ?
0
Comments
-
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.0 -
BorisThomson wrote: »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.
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 ?0 -
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 ?
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.0 -
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 wrote: »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.0 -
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...
No, the CCG will pay a much lower rate as they'll buy in bulk.0 -
Yes - but an NHS hospital must be cheaper ?BorisThomson wrote: »No, the CCG will pay a much lower rate as they'll buy in bulk.0 -
Yes - but an NHS hospital must be cheaper ?
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.0 -
of course if you changed to the GP in your town, and therefore trust you'd be sent there for any tests0
This discussion has been closed.
Confirm your email address to Create Threads and Reply
Categories
- All Categories
- 353.6K Banking & Borrowing
- 254.2K Reduce Debt & Boost Income
- 455.1K Spending & Discounts
- 246.7K Work, Benefits & Business
- 603.1K Mortgages, Homes & Bills
- 178.1K Life & Family
- 260.7K Travel & Transport
- 1.5M Hobbies & Leisure
- 16K Discuss & Feedback
- 37.7K Read-Only Boards