Sarah-Kate Templeton, Health Editor
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The government’s ban on NHS patients paying for medicines the health service does not fund is in disarray. Figures obtained under freedom of information legislation show that NHS hospitals were allowing dozens of patients to top up with private drugs before the government warned them it was not allowed under NHS rules in July last year.
The evidence that top-up payments have previously been allowed, apparently without difficulties, undermines the government’s claim they are contrary to the fundamental principles of the NHS.
At one trust, the Royal Cornwall Hospitals NHS Trust, 20 patients were allowed to co-pay for cancer drugs that the health service refused to fund before the government ban was introduced.
The figures also provide further evidence that many trusts are allowing patients to top up with additional drugs without removing the remainder of their NHS care. Freedom of information data shows that Nottingham University Hospitals NHS Trust has allowed patients to pay for drugs their consultant has recommended without losing the rest of their NHS treatment.
John Baron, MP for Billericay, who obtained the figures, said: “This undermines the case of those who argue co-payments cannot exist within the NHS.”
Other trusts that have allowed co-payments include the University Hospital Birmingham NHS Foundation Trust, ABM University NHS Trust in Bridgend, south Wales, and Weston Area Health NHS Trust in Somerset.
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I'd like to admit now that I have been funding my own paracetamol and aspirin for years. Will the funding for my GP-recommneded Statins be withdrawn after this scandalous commitment to my own health?
Paul Campbell-Kelly, Macclesfield, Cheshire
It's bad enough that cancer patients should have to pay for approved life-saving/prolonging drugs; disgraceful that the patient should then have to pay for the whole of their NHS treatment.
Lorna Lancaster, Jordans, UK
If a child has private coaching to help it with schoolwork or to succeed in an examination, its parents don't get landed with a bill for the whole of its State education, so where is the logic in the banning of top-up drugs? Patients shouldn't have to pay for proven drugs anyway.
Lorna Lancaster, Jordans, UK
NICE would rather have people die than fund some treatments. Kill the QUANGO, not the patients
steve tea, manchester, chester
The right to life is fundamental - individuals fulfil that responsibility by doing what they can to preserve their lives. The law is dismissive of penalties and arbitrary political decisions which essentially penalise self-help must fail.
There should be no debate; lives are being lost.
Leslie Simon, Stratford-upon-Avon, England
Well Done to those trusts. They have placed patient care above arbitrary dogma and cash limited treatment. Sadly in Southend the rule is vigorously enforced by a self proclaimed baptist. Hypocracy rather than Hypocratic I think.
KevinR, Southend-on-Sea, UK
How can a ban possibly be enforced? Have two GPs , one private, one NHS. Alternatively go to Brussels etc for the day. The private or foreign Doctors needed divulge information to the NHS if it is against the patient,s wishes and they can advise on any clashes of prescription or treatment.
Peter McCann, Gozo, Malta
Let the National Institute for Health and Excellence (NICE ) give a ruling on this just as it does so on many other NHS issues warranting cost-effectiveness.
If NICE is shunning this minefield. then , why not appoint a Royal Commission. After all, this is a major ethical issue for us all.
Dr.Abdul Jaleel, Darlington , United Kingdom
"Against the principles of the Health Service?" Could it be the discrediited principle of 'equal misery for all" that we binned when the post-WW2 Labour government was thrown out? If not, then what 'principle'? More 'upside-down', Smoke and Mirrors, political non-thinking dogmatism?
Paul Muller, Pattaya, Thailand
Top up payments are not contrary to the fundamental principles of the NHS. They are contrary to the wishes of the very unprincipled NHS Secretary Alan Johnson. This elitist government who have had the very best of everything from education to health but are not happy for hard working Brits to have.
John Moore, Paphos, Cyprus