OxDONS syndrome : the inevitable disease of the NHS reforms. Commentary.
The financial demise of Oxford's department of neurosurgery (OxDONS) was precipitated by the financial rules of the reformed NHS.
In particular it was produced by the failure of « resources to follow patients » ; the requirement that « prices have to follow costs » ; and the use of private income for revenue expenditure, not capital expenditure.
This process will eventually affect all hospital departments, but it affected the unit in Oxford sooner as it started as « efficient » - that is, underresourced-and has depended on income from extracontractual referrals and private work.
Current NHS accounting rules act as a disincentive to private income being generated in NHS hospitals, and consultants should be aware of this.
Mots-clés Pascal : Etude cas, Article synthèse, Organisation santé, Coût
Mots-clés Pascal anglais : Case study, Review, Public health organization, Costs
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0061911
Code Inist : 002B30A01B. Création : 199608.