Intended for healthcare professionals

Letters Top-up insurance to fund the NHS?

Consider the Australian system for NHS funding

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5910 (Published 08 November 2016) Cite this as: BMJ 2016;355:i5910
  1. Hugo E Ford, consultant in medical oncology
  1. Box 193, Addenbrooke’s Hospital, Cambridge CB2 0QQ, UK
  1. hugo.ford{at}addenbrookes.nhs.uk

NHS funding reform is essential unless the public is prepared to accept less access to some treatments.1 The French system of top-up payments is based on a fundamentally different model of social insurance contributions and might be difficult to reconcile with our own. Historically the UK encouraged uptake of private …

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