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PJ Online homeThe Pharmaceutical Journal
Vol 278 No 7436 p98
27 January 2007

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Politicians should not decide NHS treatments, the public says

Most people think politicians should not be involved in deciding which medicines are provided by NHS trusts, an NHS Confederation survey has found.

The poll of 969 people showed that only 9 per cent thought MPs should have a say in which medicines or treatments are funded by their local NHS and only 6 per cent thought local councillors should. Most people (70 per cent) thought that clinicians working in their local NHS should make these decisions.

A smaller proportion thought that financial constraints should be considered: 22 per cent believed the cost of a medicine should be an issue and 34 per cent thought the availability of cheaper treatments should affect decisions.

Gill Morgan, chief executive of the NHS Confederation, commented: “There are difficult ethical issues that we need to grapple with … about how we make choices in a cash-strapped NHS. It’s time to confront the reality and to recognise that if cost is not to be a factor in NHS decisions, then the public may have to be prepared to pay more in order to have every treatment funded. I think the public is ready for this debate.”

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