POSSIBLE HIATUS

I go into hospital for a rather large surgical procedure today. It is however day surgery so I hope to be back home by the evening and blogging away as usual. If that proves too optimistic, however, this blog may not be updated for a day or so.




Vaccine shortage: British government tries to pass the buck for its own inevitable incompetence

Family doctors were blamed yesterday for the shortage of flu vaccine. Patricia Hewitt, the Health Secretary, said that GPs had ordered too little vaccine, or had given jabs to the "worried well", patients who were not over 65 or in the high-risk group, creating a shortage.

Doctors responded angrily. Dr Richard Vautrey, a Leeds GP who is a member of the British Medical Association GPs Committee, said that the claims were ridiculous. "I don't think it is fair to blame GPs" he said. "We have to order vaccine at least eight months in advance and couldn't have predicted the much higher response rate. We don't give vaccine willy-nilly to anybody who asks for it. "What is apparent is the Government's failure to plan. Ministers have responsibility for wider public health, and part of that is contingency planning. That's not the GPs' job."

In the Commons, Ms Hewitt urged doctors to prioritise the remaining stocks on those who will really benefit - those aged over 65 and younger people classed as being at clinical risk. This year more vaccine was produced than ever before, but anecdotal evidence in late October had suggested there may be a shortage, she said. She added: "The current problems may be due to a combination of factors, such as under-ordering of vaccine and vaccination of the `worried well'. Awareness may also be higher this year due in part to the level of media interest in the threat of avian flu."

Angry exchanges followed Ms Hewitt's statement, during which she was accused of blaming doctors instead of taking responsibility herself, and the department was charged with gross complacency. Andrew Lansley, Shadow Health Secretary, said: "The simple fact is that people have been going to their GPs to get their flu jabs and told that supplies have run out." Pointing at Ms Hewitt, he said: "You don't accept responsibility for this. You should have. The delivery of the programme is the Government's responsibility. It is not good enough that you blame the GPs." He added: "You have not even remotely begun to explain what has gone wrong. We have a crisis. What are you going to do about it?"

Ms Hewitt said that in previous years the GP-led arrangement for buying flu vaccine had worked well, but added: "In view of what has happened this year, I am reviewing the arrangements and will consider this matter urgently."

Doctors across the country are reporting that they have run out of vaccine, after more patients than expected turned up for immunisation. Dr Kailash Chand, Greater Manchester's BMA representative, estimated that a fifth of practices in the North West had run out of the jabs. He said: "Just weeks ago, the Government said there would be no shortage. Now they have run out." Doctors also denied that they were treating the worried well, saying that the demand came from patients who were fully entitled to vaccination on the NHS. Dr John Havard, a GP in Saxmundham, Suffolk, said: "Those who are coming in are largely the people we are always trying to persuade. This year they are a bit scared, and demand is up."

Most GPs do not have the option of sending back unused vaccine, so over-ordering costs them money. They are not paid for patients outside the at-risk groups, so have no financial incentive to vaccinate the worried well. Dr Vautrey added that in many ways it was a good thing uptake had been so high. "It means a higher level of protection against seasonal flu than ever before," he said. "That can only be helpful."


More here

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For greatest efficiency, lowest cost and maximum choice, ALL hospitals and health insurance schemes should be privately owned and run -- with government-paid vouchers for the very poor and minimal regulation. Both Australia and Sweden have large private sector health systems with government reimbursement for privately-provided services so can a purely private system with some level of government reimbursement or insurance for the poor be so hard to do?

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