Finally the
Office of Fair Trading has decided to refer the private healthcare sector to the
Competition Commission for further investigation.
There are
aspects of the private healthcare market that are badly in need of reform.
Transparent fee structures for patients and doctors are required. Theoretically
at least NHS patients through their GP’s have the choice of which specialist
doctor they can be referred to. This is not necessarily so in the private
sector. Insurers are potentially able to influence patient choice by dictating
which doctors patients are allowed to see. By not recognising certain doctors,
insurance companies influence patient choice in the market.
The
chairman of the British Medical Association’s Private Practice Committee, Derek
Machin, has welcomed the announcement “the BMA has for many years called for
reform of the private healthcare market so that it can deliver a system that is
fairer to patients and doctors” he too has called for a probe into what he
describes as “the disproportionate power of large commercial insurers over
doctors”
As a
consultant colorectal surgeon I am currently recognised by all the major
insurers. The recent and very public stand off between BUPA and BMI hospitals
and recent fee structure changes recently introduced by one major insurer
(without any consultation with doctors or their professional speciality bodies)
have highlighted to me the need for proper investigation and reform of the
private healthcare market.
Simon
Radley April 2012
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