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Home surgery could spell end of NHS cuts


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Friday, 4 November 2016

Home surgery could spell end of NHS cuts

The BBC last week reported that a man with a gangrenous foot cut off his own toes after a hospital operation had been cancelled. Doctors said the operation, performed with a pair of surgical pliers had probably saved the man’s foot. It also saved the NHS the cost of putting him under the knife.

The government said the case illustrated the potential to improve NHS outcomes and efficiency without inconveniencing taxpayers or putting further demands on hard-working ministers preoccupied with Brexit plans.

Operating framework

NHS Improvement has started work on a self-care tariff that would reward patients with John Lewis vouchers for cutting out layers of bureaucracy including doctors, nurses and hospitals. The so-called "personal surgery budget" will incentivise people to tackle their own diseased limbs and organs rather than relying on the state to intervene.

The Department of Health dismissed concerns raised by leading doctors about quality and safety. “These will be dealt with by the payments system, which will promote high-quality care by only rewarding good outcomes. It won’t be in patients’ financial interest to make a mess of their operations,” a spokesman said.

Patients in control

The government said that a radical move towards self-care could be the solution to the financial problems facing the NHS, with big potential savings in training alone. 

"No one has the time for formal medical qualifications any more. In the digital age they can just download a tutorial from YouTube and get going," he added.

A further benefit is that patients would no longer need to travel miles to receive treatment, but would get the care they need in the comfort and convenience of their own homes.

“People would also learn useful new skills, such as sewing, which they could apply in other areas of their lives,” the spokesman said.

Surgical spirit

While there are doubts about the ability of individuals to carry out procedures requiring a general anaesthetic (defined by the new NICE home surgery guideline as more than one bottle of brandy), a leading think tank said this is where more community-based approaches would be required.

Neighbours and networks of community “in-reach” workers could be enlisted for complex procedures including heart surgery.

Children could also be useful, particularly in delicate areas such as neurosurgery where their small fingers could be an advantage.

Public Health England warned that children should not be allowed to perform any surgery without adult supervision and reminded parents to take particular care before letting them loose with scalpels or power tools.

“This idea definitely has legs,” said a government spokesman, “for the moment at least.”

Shares in Kingfisher, the parent company of B&Q and Screwfix, rose sharply following news of the initiative.

DIY editor:  NHS Networks


Anonymous says:
Nov 04, 2016 09:30 AM

That lightened up the morning, very funny.

Anonymous says:
Nov 04, 2016 09:38 AM

Hilarious! Good start to Friday!

Mark John Thompson
Mark John Thompson says:
Nov 04, 2016 09:44 AM

stitching my sides up. comedy store surely beckons?

Julian Knight
Julian Knight says:
Nov 04, 2016 01:30 PM

This week's episode certainly a good read and bringing light to the end of a long week. Thanks.

kathryn.stillman@btinternet.com says:
Nov 04, 2016 07:22 PM

Sparkling read as ever. Nice to see anaesthetists are such super amazing doctors, they get a second special mention ;-)

Julian Patterson
Julian Patterson says:
Nov 04, 2016 07:32 PM

Thanks, Kathryn. You're right of course. I'm very sorry for the careless de-doctoring of this fine profession.

Anonymous says:
Dec 01, 2016 03:49 PM

Hilarious as all blogs by Julian, it's great to read something amusing and funny for a change in a depressing Brexit/Trump world :-)