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The Big Ones

The Health Service


Doctor with patient

Some schemes give patients more say in their treatment – a good idea or not?
(Cadmium)

How can I choose the best healthcare for me?

There is no doubt that patients have more control over their treatment than ever before. As well as a choice of hospital, we will also be offered a choice of date and time for our appointment. There is more information to help us make these choices, with league tables on MRSA infection rates and clinical performance.

A number of schemes aim to give patients more say in how we are treated. The Expert Patients Programme gives long-term patients skills to manage and control their treatment. And the NHS Direct website allows you to enter your symptoms and search for treatments to see whether it’s worth going to your doctor or calling their helpline.

But is this the route to better healthcare? Choice can be a curse rather than a blessing. After all, we may not want to learn about the qualifications of a hospital’s consultants before we can be treated. Sometimes we just want our illness sorted out as quickly and as efficiently as possible by medical experts. The rhetoric of choice can be a way in which officials offload responsibility for creating decent healthcare. If the hospital you chose isn’t up to scratch, well, you chose it. The Patients Association is now telling patients to bring their own medical wipes and scrub up before they go into hospital to protect against MRSA. Why should patients take the rap for dirty hospitals?


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