| Treatment in English hospitals 20:35 - Jul 22 with 809 views | onehunglow |
Saves Welsh lives
Without England and its hospitals,thousands of welsh would die unnecessarily .
This week, my missus was unfortunate to taste NHS England care and after triage got admitted to a ward.
First person to speak was a woman from Neath who has moved to Wirral and opposite a young woman from Denbigh with a serious heart complaint .
A few days later,she got transferred to Broadgreen heart and chest centre where her ward had three Gog ladies and one from the Isle of Man for treatment .
That simple
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| Treatment in English hospitals on 21:24 - Jul 22 with 775 views | controversial_jack |
Plenty of English patients in Welsh hospitals | | | |
| Treatment in English hospitals on 22:52 - Jul 22 with 744 views | majorraglan |
They’re part of a commissioned services agreement. I don’t know what the fuss is about. | | | |
| Treatment in English hospitals on 05:42 - Jul 23 with 687 views | builthjack |
About 40% of of people in local towns are older English people. They have moved here for a better life. I don't blame them.
But they cost services a lot of money, as they are in the docs often etc. Locals don't complain.
Yet Perchy complains every time a person from Wales, (there's a good chance that this person is English), goes to a English hospital for treatment. |  |
| Swansea Indepenent Poster Of The Year 2021. Dr P / Mart66 / Roathie / Parlay / E20/ Duffle was 2nd, but he is deluded and thinks in his little twisted brain that he won. Poor sod. We let him win this year, as he has cried for a whole year. His 14 usernames, bless his cotton socks.
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| Treatment in English hospitals on 08:27 - Jul 23 with 652 views | onehunglow |
| Treatment in English hospitals on 22:52 - Jul 22 by majorraglan |
They’re part of a commissioned services agreement. I don’t know what the fuss is about. |
The “ fuss” is/ was about the fact they are English
Lets out it this way.
Do many English patients get transferred to Welsh hospitals because treatment is better and more extensive | |
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| Treatment in English hospitals on 14:29 - Jul 23 with 587 views | controversial_jack |
| Treatment in English hospitals on 08:27 - Jul 23 by onehunglow |
The “ fuss” is/ was about the fact they are English
Lets out it this way.
Do many English patients get transferred to Welsh hospitals because treatment is better and more extensive |
Yes of course, if it's medically required | | | |
| Treatment in English hospitals on 08:13 - Jul 24 with 493 views | felixstowe_jack |
| Treatment in English hospitals on 14:29 - Jul 23 by controversial_jack |
Yes of course, if it's medically required |
Most get transferred to English hospitals because that is where the centre of excellence are. Particularly in child care, transplant, heart surgery etc.
Liverpool, Manchester, Birmingham, Bristol , London and Cambridge are where these specialists centre are. It is one it one of the benefits of the UK NHS. | |
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| Treatment in English hospitals on 08:18 - Jul 24 with 490 views | onehunglow |
| Treatment in English hospitals on 08:13 - Jul 24 by felixstowe_jack |
Most get transferred to English hospitals because that is where the centre of excellence are. Particularly in child care, transplant, heart surgery etc.
Liverpool, Manchester, Birmingham, Bristol , London and Cambridge are where these specialists centre are. It is one it one of the benefits of the UK NHS. |
Which is my point Felix.
It should be obvious
We should be grateful
British NHS | |
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| Treatment in English hospitals on 08:42 - Jul 24 with 466 views | trampie |
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| Treatment in English hospitals on 08:50 - Jul 24 with 452 views | onehunglow |
What is this doing appearing here when it was removed in the original appalling post .
Today, children will be rushed through the Mersey Tunnels to Alder Hey for life saving treatment
No charge | |
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| Treatment in English hospitals on 09:06 - Jul 24 with 434 views | trampie |
| Treatment in English hospitals on 08:50 - Jul 24 by onehunglow |
What is this doing appearing here when it was removed in the original appalling post .
Today, children will be rushed through the Mersey Tunnels to Alder Hey for life saving treatment
No charge |
A BBC report been removed, oh dear.
I remember Alder Hey being in the news, awful what went on. | |
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| Treatment in English hospitals on 09:40 - Jul 24 with 414 views | controversial_jack |
| Treatment in English hospitals on 08:13 - Jul 24 by felixstowe_jack |
Most get transferred to English hospitals because that is where the centre of excellence are. Particularly in child care, transplant, heart surgery etc.
Liverpool, Manchester, Birmingham, Bristol , London and Cambridge are where these specialists centre are. It is one it one of the benefits of the UK NHS. |
It is a bigger country with bigger population centers and more resources. That will never change.
Why do some cases here want to go to the US for specialist treatment?. it's the same scenario | | | |
| Treatment in English hospitals on 09:54 - Jul 24 with 401 views | felixstowe_jack |
| Treatment in English hospitals on 09:40 - Jul 24 by controversial_jack |
It is a bigger country with bigger population centers and more resources. That will never change.
Why do some cases here want to go to the US for specialist treatment?. it's the same scenario |
Correct the UK is a bigger country and can set up special CENTRES of excellence That is the great benefit of being part of the UK | |
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| Treatment in English hospitals on 09:55 - Jul 24 with 397 views | controversial_jack |
| Treatment in English hospitals on 09:54 - Jul 24 by felixstowe_jack |
Correct the UK is a bigger country and can set up special CENTRES of excellence That is the great benefit of being part of the UK |
Yes, but we also need some in Wales too as it's part of the UK too | | | |
| Treatment in English hospitals on 10:17 - Jul 24 with 379 views | KeithHaynes |
Just to say, be adult and debate, please. |  |
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| Treatment in English hospitals on 10:19 - Jul 24 with 373 views | controversial_jack |
| Treatment in English hospitals on 10:17 - Jul 24 by KeithHaynes |
Just to say, be adult and debate, please. |
Aren't we? | | | |
| Treatment in English hospitals on 11:55 - Jul 24 with 350 views | onehunglow |
| Treatment in English hospitals on 09:54 - Jul 24 by felixstowe_jack |
Correct the UK is a bigger country and can set up special CENTRES of excellence That is the great benefit of being part of the UK |
It’s the United Kingdom.
Surely it is better to avail ourselves of specialise centres
Broadgreen in Liverpool sees young doctors from all the world train there . It’s that specialist .
Wales cannot afford these units
Neither can the Isle of Man who are quite happy to have their people go to Liverpool for Brain,Heart,Cancer and children’s treatment .
As regards Wales,I probably escorted literally thousands of God Ambulances through Wallasey en route to Alder Hey
Welsh ambulance, English police,English hospital,International doctors .
It is all eastbound and never westbound | |
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| Treatment in English hospitals on 11:55 - Jul 24 with 350 views | AnotherJohn |
| Treatment in English hospitals on 08:50 - Jul 24 by onehunglow |
What is this doing appearing here when it was removed in the original appalling post .
Today, children will be rushed through the Mersey Tunnels to Alder Hey for life saving treatment
No charge |
I am not questioning your main argument that a UK NHS (or at least four variants that link well together) is highly beneficial, but "no charge" is incorrect. The Welsh NHS commissions certain specialist services from England, either through health boards or centrally for certain services via the Welsh Health Specialised Services Committee (WHSSC). You may remember that in 1991 under the Tory government we shifted to a system where the NHS was split into a purchaser half and a provider half, with the England PCTs and Welsh health boards paying the hospitals for the services they provided, generally in a way that reflected the number of cases treated in the specialty concerned. This system was continued by the Blair government with minor tweaks. However, things became complicated after devolution when both Scotland and Wales chose to end the NHS purchaser/provider split and revert to unified health boards. Normally these arrange financial allocations to hospitals internally, but still have to make arrangements to pay for cases treated outside. When it comes to Wales/England cross border treatments, the English hospitals normally expect to be paid according to the market system still operating in the English NHS, based mainly on PBR tariffs (a fixed price for particular procedure based on health resource groups, a system similar to DRGs). This difference between the two systems can result in price disputes such as when the Countess of Chester hospital said it would take no more Welsh cases, or the more recent case reported in the post above where no funding was forthcoming. Last time I checked two Welsh health boards take lead responsibility for coordinating the commissioning of treatments from English hospitals, and manage the transfer of funds, doing this on behalf of the other health boards as well as their own. This is alongside WHSSC. So to recap when a Welsh child patient goes to Alder Hey, a transfer payment should follow. This is often similar to what we used to call an extra-contractual referral, a deal for a single case outside of a bigger contract for a defined volume of cases. The arrangements for commissioning and also procurement more generally are complex and currently undergoing changes so I may not be fully up to date. The commissioning aspect is a slightly different issue from policy on managing patients who live near the border, which is written up in more accessible form. I can't find anything very recent on the commissioning side - only this old Welsh Affairs Committee Report, which does give some background.
https://publications.parliament.uk/pa/cm201415/cmselect/cmwelaf/404/404.pdf | | | |
| Treatment in English hospitals on 12:18 - Jul 24 with 335 views | onehunglow |
| Treatment in English hospitals on 11:55 - Jul 24 by AnotherJohn |
I am not questioning your main argument that a UK NHS (or at least four variants that link well together) is highly beneficial, but "no charge" is incorrect. The Welsh NHS commissions certain specialist services from England, either through health boards or centrally for certain services via the Welsh Health Specialised Services Committee (WHSSC). You may remember that in 1991 under the Tory government we shifted to a system where the NHS was split into a purchaser half and a provider half, with the England PCTs and Welsh health boards paying the hospitals for the services they provided, generally in a way that reflected the number of cases treated in the specialty concerned. This system was continued by the Blair government with minor tweaks. However, things became complicated after devolution when both Scotland and Wales chose to end the NHS purchaser/provider split and revert to unified health boards. Normally these arrange financial allocations to hospitals internally, but still have to make arrangements to pay for cases treated outside. When it comes to Wales/England cross border treatments, the English hospitals normally expect to be paid according to the market system still operating in the English NHS, based mainly on PBR tariffs (a fixed price for particular procedure based on health resource groups, a system similar to DRGs). This difference between the two systems can result in price disputes such as when the Countess of Chester hospital said it would take no more Welsh cases, or the more recent case reported in the post above where no funding was forthcoming. Last time I checked two Welsh health boards take lead responsibility for coordinating the commissioning of treatments from English hospitals, and manage the transfer of funds, doing this on behalf of the other health boards as well as their own. This is alongside WHSSC. So to recap when a Welsh child patient goes to Alder Hey, a transfer payment should follow. This is often similar to what we used to call an extra-contractual referral, a deal for a single case outside of a bigger contract for a defined volume of cases. The arrangements for commissioning and also procurement more generally are complex and currently undergoing changes so I may not be fully up to date. The commissioning aspect is a slightly different issue from policy on managing patients who live near the border, which is written up in more accessible form. I can't find anything very recent on the commissioning side - only this old Welsh Affairs Committee Report, which does give some background.
https://publications.parliament.uk/pa/cm201415/cmselect/cmwelaf/404/404.pdf |
Do patients pay?
Dies Wales have these units?
If not,why?
Why would Wales want to break away from a England and go it alone | |
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| Treatment in English hospitals on 12:29 - Jul 24 with 320 views | AnotherJohn |
| Treatment in English hospitals on 12:18 - Jul 24 by onehunglow |
Do patients pay?
Dies Wales have these units?
If not,why?
Why would Wales want to break away from a England and go it alone |
Patients only pay indirectly through tax, but if English hospitals don't get paid by the relevant Welsh NHS body they won't accept elective referrals. Google the Countess of Chester and Wales and you can probably find more on the old story.
https://www.bbc.com/news/uk-wales-politics-48228587
A&E is different, but even there hospitals will try to negotiate some deal if there is a regular flow of patients from outside their area and they can argue that the activity is not covered by the block contract with their local English purchaser. | | | |
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