Rationing in the NHS: the views of health and social care leaders

Nuffield Trust
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This survey looks at rationing in the NHS, exploring the challenges inherent in rationing policy and providing useful insights for policy-makers into the views of health and social care leaders. It draws on the views of leaders from across the NHS and social care, including hospitals, ambulance trusts, community services, general practice, local authorities, and private and voluntary sector providers. The patients' perspective is provided by individuals working in local Healthwatch bodies. Key findings include: two third of panellists think that people should get the same package of NHS services no matter where they live but over half think commissioners should be able to tailor decisions to local circumstances, even if this results in variation; financial pressures are seen as the biggest restrictor of clinically effective care while 14 per cent say that obsolete or ineffective procedures are still taking place in their area; nearly a third of panellists consider that quality of NHS care for patients has worsened over the last year and three in ten panellists identified access to urgent care services as the most concerning access challenge; the same proportion identified access to social care for vulnerable people as most concerning; more than three quarters of panellists think that the quality of social care services has worsened over the last year. (Edited publisher abstract)

Subject terms:
financing, cutbacks, surveys, resource allocation, NHS, health care, social care provision;
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