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  1. #31
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    Quote Originally Posted by silver fox View Post
    Labour have nothing to admit to, Labour does not equate to Communism in spite of your fixations, anything which benefits the tax/rate payer is good, nothing wrong with using capitalism on behalf of the people, rather than the usual profits to private pockets

    You have just highlighted the inherent weakness of putting medical care into private hands, thank you
    Your G.p and dentist is 'private and outsourced'.





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  3. #32
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    Quote Originally Posted by Hamble View Post
    Your G.p and dentist is 'private and outsourced'.
    True but work within NHS contracts, as I have a close relative who is a dentist, can give you chapter and verse on just how independent they are and just how much the NHS is in control.

    Where as so much recent outsourcing is driven by the lowest cost at the expense of treatment, our current care for the elderly very much an illustration of that.

  4. #33
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    Quote Originally Posted by silver fox View Post
    True but work within NHS contracts, as I have a close relative who is a dentist, can give you chapter and verse on just how independent they are and just how much the NHS is in control.

    Where as so much recent outsourcing is driven by the lowest cost at the expense of treatment, our current care for the elderly very much an illustration of that.
    The point is your relative is paid to provide outsourced private work to the nhs.

  5. #34
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    Quote Originally Posted by Hamble View Post
    The point is your relative is paid to provide outsourced private work to the nhs.
    Hardly private, NHS work is totally seperate from private in every way, prices and charges are fixed, the quantity of work required to fulfill the contract is fixed, with deductions if the quantity of work is not filled, but of course in the event of a problem or dispute the dentist is suddenly on his/her own.

    The dentist as much as possible deals with all comers, doesn't have the luxury of picking and choosing which work he/she will look at, most certainly the dentist can and does refer patients when other medical problems are noticed, but dental conditions are and remain his/her problem to deal with.

    Just why do you think so many dentists are going wholly private and only see NHS patients on referral fom the NHS, now that work is truly outsourced with the patients bill picked up by the NHS and paid to the dentist.

  6. #35
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    Quote Originally Posted by silver fox View Post
    Hardly private, NHS work is totally seperate from private in every way, prices and charges are fixed, the quantity of work required to fulfill the contract is fixed, with deductions if the quantity of work is not filled, but of course in the event of a problem or dispute the dentist is suddenly on his/her own.

    The dentist as much as possible deals with all comers, doesn't have the luxury of picking and choosing which work he/she will look at, most certainly the dentist can and does refer patients when other medical problems are noticed, but dental conditions are and remain his/her problem to deal with.

    Just why do you think so many dentists are going wholly private and only see NHS patients on referral fom the NHS, now that work is truly outsourced with the patients bill picked up by the NHS and paid to the dentist.
    ?
    I disagree.
    The dentist his staff building and equipment is all privately funded
    and is used by both private and nhs patients.

    I don't understand your last point.

  7. #36
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    Quote Originally Posted by Hamble View Post
    ?
    I disagree.
    The dentist his staff building and equipment is all privately funded
    and is used by both private and nhs patients.

    I don't understand your last point.
    Dentists are in the same position as any small business in that they have their own premises, equipment and staff, but if they do undertake an NHS contract that is what it is no more, no less, what isn't to understand about my last point, if the NHS or indeed any organisation requires a certain treatment, they will very often call on someone who specialise in that treatment, but that one off will be done at commercial rates rather than under a contract.

    Possibly you don't understand that the dental charges made at a dentist are not the full charge, they are more akin to prescription charges and in the same way some can claim exemption.


    A dentist undertaking NHS work is totally linked into the NHS and not a truly independent, in fact there are discussions and proposals to change dentists to wholly employed NHS staff just as other medical staff, how far this idea will go is very much in question and is very much in the early proposal dept, it obviously may never happen, one reason buying up existing dental practices and premises will be costly as will the alternative of providing facilities in medical centres and/or hospitals.


    You do belabour this point ref; GPs and dentists, but they are well removed from the handing over of medical facilities and NHS work to the private sector who have only profit in mind rather than providing a service.

  8. #37
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    Quote Originally Posted by silver fox View Post
    Dentists are in the same position as any small business in that they have their own premises, equipment and staff, but if they do undertake an NHS contract that is what it is no more, no less, what isn't to understand about my last point, if the NHS or indeed any organisation requires a certain treatment, they will very often call on someone who specialise in that treatment, but that one off will be done at commercial rates rather than under a contract.

    Possibly you don't understand that the dental charges made at a dentist are not the full charge, they are more akin to prescription charges and in the same way some can claim exemption.


    A dentist undertaking NHS work is totally linked into the NHS and not a truly independent, in fact there are discussions and proposals to change dentists to wholly employed NHS staff just as other medical staff, how far this idea will go is very much in question and is very much in the early proposal dept, it obviously may never happen, one reason buying up existing dental practices and premises will be costly as will the alternative of providing facilities in medical centres and/or hospitals.


    You do belabour this point ref; GPs and dentists, but they are well removed from the handing over of medical facilities and NHS work to the private sector who have only profit in mind rather than providing a service.
    I belabour the point as it is central to the complaint re outsourcing and for insurance.

    A dentist has the choice to remain private or accept the nhs contract guaranteeing a rewarding fixed income.

    G.p's are not allowed to treat nhs patients privately nor could any bar a few Harley Street based survive with private patients only with a private list bearing in mind all the clinical services it provides are free.

    If a Labour Government indeed keeps its vision to nationalise all primary care services above is what you would lose.

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