Pulse Rationing Survey

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* 1. Over the past year, has the pressure on you to ration NHS treatments/services in your daily practice...

Become much worse

Become somewhat worse

Remained the same

Reduced somewhat

Reduced a lot?

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* 2. Does local rationing of NHS treatments adversely affect patient care?

Yes

Don’t know

If yes, which areas are most problematic?

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* 3. Does local rationing of NHS treatments adversely affect the doctor-patient relationship?

Yes

Don't know

If yes, which areas are most problematic?

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* 4. Have you experienced more patient appeals for an exceptional cases panel over the past year?

Yes

Don't know

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* 5. Has your practice experienced rationing in any of the following areas in the past year (choose all that apply)?

Primary care secretarial services

Patients referred back to GP because they have missed hospital appointments

Increased use of non-doctors to review GP referrals

Hospitals over-emphasising the risks or potential hazards of surgery

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* 6. Do you struggle to get patients to guideline-recommended targets because of local rationing decisions?

Yes

Don't know

If yes, which areas are most problematic?

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* 7. Over the past year, have you had to switch patients to a less effective therapy due to local rationing guidelines?

Yes

Don't know

If yes, please give details....

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* 8. How do you think rationing of NHS treatments/services will be under CCGs?

The same

Much worse

Much better

Don't know

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* 9. Have any of your patients experienced any adverse impact from delays caused by local referral management schemes over the past year?

Yes

Don't know

If yes, please give details....

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* 10. Have you found that more of your patients are opting for private care due to NHS restrictions on treatments over the past year?

Yes

Don't know

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* 11. Have you encountered rationing of the following NHS services? (choose all that apply)

Child mental health services

Hernia repairs

Smoking cessation

Cognitive Behavioural Therapy

Bariatric surgery

Cataract surgery

Hip and knee surgery

Please give any other examples here

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* 12. In which of the following areas would you support greater rationing?

Rationing treatments if a patient’s lifestyle may affect the outcome e.g. smoking

Patients who DNA regularly having to pay for appointments

Charging for GP appointments

Limit on number of GP appointments per year before patients have to pay

Limit on number of A&E attendances per year before patients have to pay

Raise threshold for primary prevention of cardio-vascular disease

Make patients pay for follow-ups after private treatment/screening

Less people eligible for free prescriptions

Any other ideas?

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* 13. Are you owed money from your PCT for LES payments?

Yes

Don't know

If yes, please give details....

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* 14. If yes, have you made an official appeal regarding these payments?

Yes

Don't know

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* 15. If yes, have you taken, or are you planning to take, legal action?

Yes, have taken legal action

Yes, am planning legal action

No, but am considering legal action

No, and I am not considering legal action

If possible, please supply more detail here

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* 16. Job title

GP partner

GP registrar

Private GP

Salaried GP

Locum

Other GP

Other healthcare professional

Non healthcare professional

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* 17. Firstname

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* 18. Last name

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* 19. Email address

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