I can only applaud the SNP Government on their new and fair approach to patients requiring hospital treatment. For those of you who don’t watch Holyrood TV or pay attention to the news, Nicola Sturgeon, the Cabinet Secretary for Health, delivered a ministerial statement to the Scottish Parliament yesterday.
The statement was laying out how this new government will deal with the problem of hidden waiting lists.
Basically, over the years lots of people have been taken off of the waiting lists where they are guaranteed treatment within a certain time period. They have been taken off and put onto a “hidden waiting list” where they’ve NO waiting guarantee and often, they have not even been informed of this.
People are put on the hidden lists for a variety of reasons but wait till you hear what they are:
· The patient is sent an appointment but informs the hospital that they are unable to make that appointment so they are bumped off the list – regardless of the reason!
· The patient is unfit for the particular treatment they are being offered eg they have a temporary chest infection and so they are bumped off the list!!
· The hospital has decided that this particular treatment is a of low
clinical priority (like what happened to me – see yesterday’s blog) and therefore THEY are bumped from the list!!!
Some of these people are currently put onto a hidden waiting list with no guarantees of when they will be seen and it can be years!
So here’s how it will work now. Guaranteed waiting times will apply to ALL patients. There will be no hidden lists, and every patient will know where they are on that list. The statement yesterday likened it to every patient having a personal waiting time clock. The clock starts ticking when the GP referral is received and the person must be seen or treated by the time the clock reaches its maximum waiting time.
The clock can stop temporarily if, for example, the person is unavailable for a period of time. So, say you are on an 18 week maximum waiting time list for an op but you’re going to be away for 6 weeks. Your clock stops ticking for the 6 weeks you’re away and starts again when you’re available. Therefore your waiting time maximum will, in effect, be 24 weeks.
So what Nicola’s done is simply abolish hidden waiting lists – soon everyone will get a guarantee. Everyone will be told their status or a change to it. Every patient has a responsibility in all of this too. For example, someone just doesn’t show up and doesn’t inform the hospital - they’ll be referred back to their GP. They won’t be on the waiting list anymore.
There won’t, however, be any need for people not to show up because everyone will be given 21 days notice and 2 appointments to choose from. They can change their appointment up to 2 times. Now I think that’s important because the way things stand right now, we don’t take account of anyone’s work or social commitments. Patients have to choose between the promotion interview at work and the appointment at the hospital.
And social commitments? What would you do if you had to choose between your child’s sports day or even their wedding, and your hospital appointment? Of course most people will choose their child but right now, if you do that you risk being put on a hidden waiting list with no guarantee of when you’ll be seen.
So this system is much more flexible and demonstrates a recognition that we’ve all got busy lives.
Given that by March 2006 there were some 35,000 patients on hidden lists, it is an incredibly bold move by this young SNP government. They are tackling massive Labour induced problems head on.
Some are wondering can they really pull it off. I was wondering that myself! But there are 2 things that give me confidence. The first is this - how difficult can it be in all honesty, to run such a straightforward sensible system?
And the second is knowing Nicola Sturgeon, the Cabinet Secretary for Health as well as I do. Nicola is a cautious individual. She is not going to announce something like this if she is not certain it will work. She likes to have all bases covered, leaves nothing to chance. If she wants something to work, she makes damn sure it works.
So I feel confident that this bold but simple change to the health service will be one that will successfully transform the lives of patients across the country.
As Margaret Watt of the Scottish Patients’ Association said: “Scottish patients have been waiting for this”. Wait no more - the new rules come into force on 1st January. Incidentally, going back to my posting about me being bumped from a waiting list. I came across the letter today. It was July 2001. The treatment was specialised and I was being referred back to my GP to discuss a range of other treatments they could give me. Still waiting to hear from the GP. Tick tock tick tock …