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Waiting lists in the post-review NHS.

P M Mullen1

  • 1Health Services Management Centre, University of Birmingham.

Health Services Management Research
|April 8, 1994
PubMed
Summary

Hospital waiting lists are a long-standing issue within the National Health Service (NHS). Recent changes and a simulation model suggest access may be restricted, potentially creating a two-tier system for non-urgent care.

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Public Health Policy

Background:

  • Hospital inpatient waiting lists are a persistent challenge since the National Health Service (NHS) inception.
  • Numerous theories and strategies have been proposed to explain and reduce these waiting lists.

Purpose of the Study:

  • To explore the impact of recent NHS reforms and renewed political attention on hospital waiting lists.
  • To analyze potential mechanisms restricting access to inpatient waiting lists.

Main Methods:

  • Analysis of recent changes within the NHS.
  • Examination of political focus on waiting list reduction.
  • Illustration of conclusions using a simple simulation model.

Main Results:

  • Access to waiting lists may be limited through explicit rationing or contractual stipulations.
  • The introduction of General Practitioner (GP) Fundholding and purchaser-provider split may lead to a tiered service.
  • This tiered system is particularly relevant for non-urgent patient care.

Conclusions:

  • NHS reforms and market-driven changes may inadvertently restrict patient access to timely hospital inpatient treatment.
  • The potential for a two-tier healthcare system warrants further investigation, especially concerning equitable access for non-urgent conditions.

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