NHS dream of equality trumped by reality

Up to 10,000 patients will pay to top up their care when Alan Johnson, the health secretary, lifts the ban next month on National Health Service patients buying drugs that the state does not fund. Johnson’s U-turn, reported in last week’s Sunday Times, will end the policy of withdrawing NHS care from cancer patients who pay privately for life-prolonging drugs. It follows a campaign by the paper to end the practice. Until now the government has resisted pleas for top-ups to be allowed by claiming that the system will create a two-tier NHS.

The controversy is also expected to force Johnson to ask the National Institute for Health and Clinical Excellence (Nice), the government’s drug rationing body, to review the way it calculates whether life-prolonging cancer drugs should be funded by the taxpayer. Thousands of NHS patients are denied drugs that could prolong their lives because Nice has ruled that they are not good value for money.

In August Nice ruled that four life-prolonging kidney cancer drugs should not be funded on the NHS because, although they could halt the spread of the cancer for six months, this would be at a cost of up to $70,000 a year. Nice will now be asked to take greater account of how precious this extra time is for terminally ill patients.

At the moment, patients who have chosen to use their savings to pay for drugs to give them extra months of life with their families have their NHS care withdrawn. Johnson will argue that by ordering Nice to make more of these drugs available on the NHS, it will reduce the number of patients who need to pay to top up their care.

Healthcare at Home, a private company, says it is already selling cancer drugs to 1,000 patients from about 30 NHS trusts that have broken ranks and allowed patients to buy additional drugs while receiving NHS care. A company spokesman said that once the ban was lifted and more than 170 hospital trusts in England allowed top-ups, up to 10,000 patients could decide to supplement their NHS care with additional drugs.

Johnson’s change of policy follows an inquiry launched by the government in June after The Sunday Times revealed the tragedy of Linda O'Boyle, 64, a grandmother from Billericay, Essex, who died in March after her NHS care was withdrawn because she had paid privately for cetuximab, the bowel cancer treatment. At least three other cancer patients have died after their NHS care was withdrawn because they had paid for drugs.

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Unused building leased by Australian "free hospital" organization costs $1.5m while hospitals lack funds

And the guy principally responsible for that seems unrepentant

QUEENSLAND Health has wasted almost $1.5 million of taxpayers' money while renting a Brisbane building that has stood empty for almost a year. The inner-city offices, earmarked to house IT staff trained to "optimise efficiency", will remain vacant until at least early 2009. As the state's cash-strapped hospitals cry out for staff and equipment, the wasted rent money could have paid for:

More than 1400 hospital bed nights;

The annual salaries of 20 nurses;

More than 1600 chemotherapy procedures;

672 eye operations, or

3118 renal dialysis procedures.

After The Sunday Mail revealed the chronic waste to Health Minister Stephen Robertson, he last night ordered a full investigation. A shocked Mr Robertson said he would make sure all Queensland Health buildings were audited to ensure even more vital funds were not being squandered.

Queensland Health began a seven-year lease on the 3200sq m Spring Hill property, tucked away in the dead end of Gloucester St, from December 1 last year. It was previously rented to Telstra. The annual rent on the building is $1,472,000. Property owner Draconi Pty Ltd will receive more than $10.3 million in rent for the term of the lease.

The health department has blamed the delay in occupying the building on problems with a contractor hired to refurbish the offices, needing an upgrade to accommodate improved technology. The deal was terminated in April after the contractor allegedly did not meet State Government requirements. The department said it was considering "options of recourse" to recoup funds and had employed a second contractor. It declined to reveal how much had been paid to the first contractor, saying specific financial information would not be available until tomorrow. A department spokesman said Queensland Health was unaware of any other leased buildings in a similar situation.

Queensland Health chief information officer, Dr Richard Ashby, said the building would house 250 Information Directorate staff "to optimise efficiency and drive key Queensland Health ICT projects, including e-health". "The cost of the premises is $460 per square metre, which has been deemed fair and reasonable under State Government guidelines," Dr Ashby said in a statement. "The building was a shell when the lease commenced, and accordingly the fit-out has been a major undertaking." As well as the contractor problem, there had been "power, access and other technical issues", he said.

Deputy LNP leader and Opposition health spokesman Mark McArdle said that in these tough economic times, it did not make sense to pay high rent for a building just so the Bligh Government could display its logo. "This empty building is a colossal waste of money that should be going toward making sick people well and reducing elective surgery waiting lists," he said. "This is another example of the Government's poor planning and bad management. "Queenslanders would be horrified to learn that this much money was going down the drain, while sick people are languishing on trolleys in overcrowded emergency department corridors waiting for a hospital bed."

Mr McArdle said the $1,472,000 per year rent could help pay for additional improvements to the Caboolture Hospital Emergency Department (estimated to cost $700,000) or deliver special-care-nursery cots at Ipswich and Toowoomba Hospitals ($470,000).

Mr Robertson said his department was "trying to get to the bottom of what is going on", but he could guarantee that the money spent on the building had not been diverted from other health service areas. He said he was angry about the handling of the matter. "I have asked for an urgent briefing and a more detailed investigation."

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