Letters

Elective waiting lists are becoming explicitly rationed

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7056.558c (Published 31 August 1996) Cite this as: BMJ 1996;313:558
  1. Rhiannon Tudor Edwards
  1. Lecturer in health economics Department of Public Health, University of Liverpool, PO Box 147, Liverpool L69 3BX

    EDITOR,—The move from implicit to explicit rationing is already under way in the management of elective waiting lists, giving immediacy to the philosophical and practical questions raised by the Rationing Agenda Group.1

    Conflicts have emerged between NHS managerial performance measures and clinical priorities for the management of waiting lists.2 The need for the explicit, transparent, and accountable prioritisation of elective waiting lists, perhaps through points schemes, is becoming more evident. Although consultants distinguish between urgent …

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