Private medical treatment saves British woman

Under NHS rules she would have died

Sarah Burnell was 43 when breast cancer was diagnosed in November 2005. Despite having had the all-clear after a mammogram a year earlier, she had developed 11 tumours and had to have a mastectomy and chemotherapy. Because of a family history of breast cancer – her mother had the diagnosis at 51 – she had insisted on annual mammograms from the age of 38. They probably saved her life.

Her mother had been perimenopausal when her diagnosis was made, Ms Burnell, a radiologist, said, so she would not have been screened by the NHS until she was 46. “It was only because of my work as a radiologist that I was able to get screening before this age,” she said. “This meant that I caught the cancer early, before it had a chance to spread to my lymph nodes.”

A colleague at the private Princess Grace Hospital in Central London did the mammogram, and showed Ms Burnell the results. “I only saw the largest tumour. It was only when I went for ultrasound that I found out I had 11 tumours,” she said. “Thankfully, they were all very small.”

Ms Burnell, of Battersea, had a mastectomy, reconstructive surgery and chemotherapy. A year later her aunt, 70, was told that cancer was present in both breasts, indicating an even stronger genetic link.

Ms Burnell’s daughter, Xanthe, 9, is now worried that she will develop the disease and wants to have genetic testing. “Xanthe is concerned, but we are glad at this breakthrough in research,” Ms Burnell said. “We hope it will help her decide when to start screening. If she has the gene, I think she should start being screened at the age of 25. “I would hate her to go through what I went through. It’s been a very tough time.”

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NHS dentistry: Splendid British bureaucratic logic at work

They only treat you if you have GOOD teeth! Don't you love it?

DENTISTS on the National Health Service are turning away people with bad teeth because they say they are only paid enough to treat patients with a good dental health record. One surgery admitted that people who have not had a dental appointment for three years will be refused treatment. Others are employing more subtle methods to reject patients.

Dentists' leaders say the NHS dental contract, introduced in April last year, has had a perverse effect because dentists earn the same for giving a patient one filling or 10. The Oakwood Dental Centre in Derby, for instance, says on Derby City Primary Care Trust's website that it "will only accept patients who have visited a dental surgery within the last three years". Aneu Sood, who runs the practice, said it had no time to treat those who "need a tremendous amount of work".

According to dentists' leaders, potentially unprofitable patients are screened out by giving preference to those patients who have recently been dropped by an NHS practice which has gone private. This sort of patient is likely to have had recent and regular treatment and therefore is unlikely to need extensive new surgery. Dentists will also take on the relatives of existing patients with healthy teeth in the expectation that family members will need little treatment as well.

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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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