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NHS 'will not be free in future' NHS 'will not be free in future'
(about 6 hours later)
The NHS is unlikely to be free at the point of use within 10 years, according to doctors. The NHS is unlikely to be free at the point of use within 10 years, say doctors.
A British Medical Association poll of 964 young GPs and hospital doctors found 61% thought some patients would have to pay for some treatment by 2017. A British Medical Association poll of 964 young GPs and hospital doctors found 61% thought patients would have to pay for some treatment by 2017.
Four in five said it was also likely the health service would be providing fewer services. Nearly half of all young doctors also expect to leave the NHS within 10 years, according to the survey.
All three main political parties have ruled out bringing in a form of charging in the short-term.All three main political parties have ruled out bringing in a form of charging in the short-term.
The doctors questioned were members of the BMA's Junior Members Forum, which effectively represents the top doctors of the future as it includes those who have graduated within the last 12 years and students.
The poll also revealed 94% thought the role of the private sector would continue to grow.
I think it is an important principle that where care is needed it is free Patients Association spokeswomanI think it is an important principle that where care is needed it is free Patients Association spokeswoman
The doctors questioned were members of the BMA's Junior Members Forum, which effectively represents the top doctors of the future as it includes doctors who have graduated within the last 12 years and also students.
The poll also revealed that 94% thought the role of the private sector would continue to grow.
A total of 48% of those questioned said they envisaged they would have left the NHS within 10 years, with only a third (35%) of those saying that would be through choice.A total of 48% of those questioned said they envisaged they would have left the NHS within 10 years, with only a third (35%) of those saying that would be through choice.
Forum chairman Dr Andrew Thomson said it was time to have a debate about the future of the NHS because of pressures from the ageing population and new and ever more expensive drugs. Forum chairman Dr Andrew Thomson said it was time to have a debate about the future of the NHS because of pressures from the ageing population and new, ever-more expensive drugs.
"We are likely to see demand on health increase with more older people and this is at a time when there will be more drugs coming on to the market," he said. "Doctors fear that current reforms are damaging the NHS beyond repair.
"It is clear we need to discuss how the NHS responds. It will either do less or will require more money. "We seem to be selling off the service to the highest bidder without considering the legacy for future generations of patients.
"Our members are not saying they are for or against charging, just that we feel it needs to be discussed. "Government reforms are having negative effects on both services and the morale of doctors. We need to find ways of moving the NHS towards a period of stability. At the moment it is under serious threat.
"We will be the ones making the decisions in the future and implementing changes so we want to know what the public, profession and political parties think."
OptionsOptions
"We will be the ones making the decisions in the future and implementing changes so we want to know what the public, profession and political parties think."
Various options have been put forward, including asking patients to contribute towards the cost of some minor treatments, such as varicose veins, or excluding them from NHS care altogether.Various options have been put forward, including asking patients to contribute towards the cost of some minor treatments, such as varicose veins, or excluding them from NHS care altogether.
There has also been suggestions that an NHS tax could be introduced to help pay for the extra demands on the health service.There has also been suggestions that an NHS tax could be introduced to help pay for the extra demands on the health service.
Dr Thomson said his members were not expressing a favour for any one option, but he suggested patients may well be ready for a change in the system.Dr Thomson said his members were not expressing a favour for any one option, but he suggested patients may well be ready for a change in the system.
'Equal access'
BMA policy is still that the NHS should be free at the point of need, although the issue is likely to be discussed at the doctors' annual conference, which sets policy, later this year.BMA policy is still that the NHS should be free at the point of need, although the issue is likely to be discussed at the doctors' annual conference, which sets policy, later this year.
But a spokeswoman for the Patients Association said: "I think it is an important principle that where care is needed it is free.But a spokeswoman for the Patients Association said: "I think it is an important principle that where care is needed it is free.
"We would not be in favour of patients paying for care where doctors say it is necessary.""We would not be in favour of patients paying for care where doctors say it is necessary."
The Department of Health has defended NHS reforms, saying it is committed to creating "a truly patient-led service".
"What will not change is our commitment to a universal, tax-funded service, with equal access for all," said a spokesman.