This is vital reading for anyone who has ever thought that introducing private companies into NHS service provision might ever be a good thing: It isn’t.
The intrusion of ‘for-profit’ companies into our health service means, by definition, that money intended to buy care for the sick will become company profit instead; now we see that there is also a huge risk of these private providers making fraudulent claims the patients have more severe conditions, in order to attract higher payment.
Despicable – and entirely unsurprising.


An independent health think-tank (which looks to be genuinely independent, unlike all those right-wing ‘independent’ groups that abuse charitable status for tax-breaks while plotting ways to impoverish us) has published a new report on the impact of increased use of profit-making providers in the NHS.

The CHPI (Centre for Health and the Public Interest) report warns

that the introduction of greater use of for profit providers of healthcare services as a result of the 2012 Health and Social Care Act is likely to substantially increase the amount of healthcare fraud in the NHS. This will result in less money for patient care when funds are already scarce in the NHS.

The authors of the report find

that the use of payment by results contracts with private providers in the new NHS market provides significant opportunities for fraudulent claims such as ‘upcoding’, whereby patients are categorised as having more severe conditions than they actually have in order to…

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