Letters
Knee and hip surgery refusals
Rationing policy will do far more harm than good
BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k3831 (Published 10 September 2018) Cite this as: BMJ 2018;362:k3831- Nick Mann, general practitioner
- London E9 7TA, UK
- drnickmann{at}gmail.com
NHS England’s list of restricted procedures normalises denying patients effective treatments.1 Shifting between pretexts of “clinically obsolete” and “too expensive,” it is the antithesis of a sensible, pragmatic response to planning provision for the population in an artificially constrained budget. Clinical commissioning groups’ rationing of hip and knee surgery—effective and cost effective procedures—alongside redundant or cosmetic procedures, creates a …
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