I work,
for the NHS, I've never hidden away from that and I'm proud to say I'm employed by
what I think is a fantastic establishment. I'm not clinical, so I wouldn't be
able to tell you symptoms, tests, or treatments to diagnose any weird or
unheard of diseases (except for feed a cold, starve a fever maybe !). However,
being a finance and performance employee I can tell you things that not many
people know, as well as knowing things which everyone should know, but probably don't...
You'll all be aware of the A & E 4 hour wait time, and
that hospitals must deliver this for 95% of their patients? That's a pretty
standard one which is currently getting a lot of media coverage. Read headlines
such as patients rocking up at A&E who don’t need to be there/should be
going to their GP or Walk in Centre instead…
How about the 18 weeks referral to treatment rule? This one
doesn't get the coverage I think it deserves... Every patient across the country
has a statutory right under NHS guidelines to receive the start of their treatment
within 18 weeks of their initial referral to be treated.
But what
does that even mean?! Well, it means that if you go to your GP and they send
you on to hospital, you must receive the treatment to whatever your ailment is
within 18 weeks. Note the word TREATMENT here, tests & diagnostics do not
constitute treatment.
So, if you end up being referred to hospital and require an
operation, if your operation is not within 18 weeks from your initial referral
to hospital, then the hospital has an obligation to move your operation date
forward at their expense (this includes having your operation at another hospital
if needs be in order to meet the 18 weeks target).
I find this extremely interesting and probably take waaaaay
too much pride out of telling everyone I know about it. I get the same reaction every
time though, glossed over eyes because they’re so busy concentrating on listening to
what I've got to say J
The way the cost of your stay at hospital is calculated is equally as
interesting; it’s unsurprisingly, based on your diagnoses and any procedures
you have, as well as whether you attended A & E, you were
admitted (be that in an emergency, or if it was planned), or if you 'simply'
turned up for an appointment for a diagnostic test / examination from a
doctor or consultant.
The combination
of this ‘care setting’ you are treated under, and what your diagnoses /
procedures are get mashed together into a magical algorithm to determine what
your hospital stay costs.
So, what
do runners cost? I’m just providing some generic, run of the mill costs which
will likely be the pathway a runner would follow.
David
goes to his GP with a hurty knee and is referred to hospital, where he is seen
by a consultant. This will cost £119. If the consultant decides that David needs
a scan, (likely a MRI scan), this will cost between £138 and £188 dependent on
the number of areas scanned.
Following
a scan, David goes to get his results, this will cost £70, as will every
subsequent attendance with the consultant whether a scan has occurred or not.
If David
is then sent for physiotherapy, this is where it gets a bit complicated; it
doesn't cost the same at every hospital. Hospitals are generally paid a ‘block
contract’ for physiotherapy, that is, they will employ a certain number of physiotherapists
and be expected to treat all patients sent to them. These physiotherapists will
often be expected to complete a patient's course of treatment within 4 – 6 visits. This will cost in the range of £25 - £65, but is different at each hospital, and should be used as a guideline only.
If, as I’m
often reminded, that running ‘ruins your knees’ and a knee replacement is
required, you’re looking at £9,000.
Now you
have an idea of what runners cost, it realistically, is not huge sums of money,
and will be little in comparison to other ‘self induced’ medical conditions…
One final note, none of the information I've posted, particularly around the costs above are a secret or confidential; they are free to view by anyone and everyone. Yu could just Google (other search engines available) PbR (Payment by Results) National Tariff and find the information.
