NHS outsourcing fuels inequality and longer waits, study shows

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https://morningstaronline.co.uk/article/nhs-outsourcing-fuels-inequality-and-longer-waits-study-shows

 A general view of medical equipment on a NHS hospital ward at Ealing Hospital in London

NHS outsourcing is fuelling inequality and lengthening waiting times, with wealthier patients receiving faster treatment than poorer ones, a study revealed today. 

Researchers found that expanding private providers into NHS-funded care has reduced surgical admissions at NHS hospitals and driven up waiting times across the board. 

Private hospitals are disproportionately located in wealthier areas and poorer patients, who are often sicker, are less likely to be admitted.With NHS capacity under pressure, the study warned that those on lower incomes are now waiting longer for care, receiving less support at home and facing greater barriers in travelling to private hospitals. On average, patients treated by private providers via the NHS waited only half as long as those treated in NHS hospitals.The poorest 20 per cent of patients are significantly less likely to be treated in the private sector and face longer waiting times than the wealthiest 20 per cent.Between 2003 and 2008, when private involvement in NHS treatment was minimal, surgical admissions rose and waiting times more than halved. But from 2008 onwards, as private sector provision expanded, NHS capacity fell and waiting times increased.Study co-author Professor Allyson Pollock of Newcastle University said: “The private sector is now substituting for, not adding to, NHS capacity. 

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NHS bosses reportedly worried about Starmer’s pledge to cut waiting lists

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https://www.theguardian.com/society/2024/dec/02/cut-nhs-waiting-lists-keir-starmer

Keir Starmer and the chancellor, Rachel Reeves, who has promised an extra £22bn to help cut NHS waiting times, at University Hospital Coventry and Warwickshire on 31 October. Photograph: Darren Staples/AP

NHS bosses are said to be privately concerned about Keir Starmer’s ambitious targets to cut waiting lists for routine operations, set to be announced later this week, which will also include specific targets on living standards and housebuilding.

The prime minister is expected on Thursday to set a target for 92% of routine operations and appointments in England to be carried out within 18 weeks by March 2029 – a goal that has not been achieved in almost a decade – the Times has reported.

Most NHS trust bosses doubt the health service can restore key waiting times by 2029. A recent survey by the hospitals body NHS Providers found that 71% of the leaders overall, and 100% of those who run acute and ambulance trusts, thought it unlikely that they could make such progress that quickly.

The Society for Acute Medicine (SAM), which represents hospital doctors, said Starmer’s desire for a return to 92% of patients waiting a maximum of 18 weeks, four months before the end of this parliament, was “doomed” unless overstretched NHS urgent and emergency care services, such as A&E and ambulance services, were dramatically improved.

https://www.theguardian.com/society/2024/dec/02/cut-nhs-waiting-lists-keir-starmer

Continue ReadingNHS bosses reportedly worried about Starmer’s pledge to cut waiting lists