So it seems it is often accepted as given that the patient’s experience is improved when NHS services are delivered by external contractors.
And there are all sorts of issues to do with money and stuff, which I will ignore for now.
But, having just waited more than 20 minutes on the phone to get an answer from such a contracted company, I thought I would rant about how the whole experience was worse than I get from the “normal” NHS.
My GP referred me for ENT investigation.
I ended up being invited for a consultation with someone from something labelled as “Community Outpatients”. It is not immediately obvious that this is a private company, especially given the name, but it is.
I had the consultation; some treatment was prescribed, along with a CT scan.
The CT scan was at RHCH (Winchester NHS Hospital). That was amazing:- the whole visit and scan was executed so quickly that I didn’t pay any parking charges because I was in and out in less than 30 mins., including the scan itself and walking the length of the site twice.
I then had another consultation with Community Outpatients (by telephone, in fact, but that isn’t unusual nowadays, my GP does that), and was told they were recommending I look at having surgical treatment.
So I have now been referred (you guessed it) back into the maintstream NHS to see a consultant at the RHCH.
So what has happened?
Privatised service: I will have had three consultations with three different consultants, and then an operation scheduled. And they can’t even answer the phone in a timely manner, or provide the records I need, by the way.
Non-privatised: (Typically) I would have two consultations with the same consultant and then an operation scheduled. And I can get through on the phone.
OK – not *such* a big difference, but the point is that it is different, and *worse*, not *better*.
And what really pisses me off, of course, is that my worse experience has cost the NHS *more* money. At the minimum, they have had to fund an extra consultation.
In fact, they will have also put some profit into someone’s pocket. I accept that Community Outpatients has managed some stuff, and therefore can be paid for management as well as the clinical stuff, but they are actually a big business making a chunk of profit from my taxes that are funding the NHS.
If you want to know, they are one of a number of subsidiaries of Concordia Health Holdings LLP, which is owned by two Mr Hurds from Nottingham, and which had a turnover of over £18M in 2016, with a gross profit of over £6M.