@BillHicks123 @NHAparty Care isnt rationed; there is rationale to use of resources we may not agree with; inevitable in cash limited service
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Replying to @RoyLilley
@RoyLilley @BillHicks123@NHAparty Semantics? Rationing needed if there isn't enough for all to have what they need when they need it?2 replies 2 retweets 0 likes -
Replying to @NHSwhistleblowr
@NHSwhistleblowr@roylilley @billhicks123@nhaparty Totally agree David. Either offering needs-based, or cost-based service. Can't be both!1 reply 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@NHSwhistleblowr @billhicks123@nhaparty What about value based?2 replies 0 retweets 0 likes -
Replying to @RoyLilley
@RoyLilley@nhswhistleblowr @billhicks123@nhaparty Sure if you mean value for money? As long as decision to treat based on need each time.1 reply 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@nhswhistleblowr @billhicks123@nhaparty Need or value? you see the mess you can get into Making ethical and moral decisions not easy2 replies 0 retweets 0 likes -
Replying to @RoyLilley
@RoyLilley@nhswhistleblowr @billhicks123@nhaparty I'm in no mess. Decide what is on treatment list. Source all treatments by val for money1 reply 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@nhswhistleblowr @billhicks123@nhaparty What treatment list? NICE does value for money using QALY there is usually a row about that1 reply 1 retweet 0 likes -
Replying to @RoyLilley
@RoyLilley@nhswhistleblowr @billhicks123@nhaparty Well then that appears to be the seat of problem that needs solving. No treatment list.1 reply 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@nhswhistleblowr @billhicks123@nhaparty And if there was; who and how wud we decide what went on it?1 reply 1 retweet 0 likes
@RoyLilley @nhswhistleblowr @billhicks123 @nhaparty Well that too would need to be a part of the infrastructure. That's the tough bit mind.
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