Welsh patients pushed down waiting list at Shropshire hospital

I was told last night on very good authority that the Robert Jones and Agnes Hunt hospital in Gobowen (also known as Oswestry Opthopaedic) is bumping English patients up the waiting lists in protest at the Welsh government's refusal to pay the going rate for treatment.

The three main hospitals in Shropshire all lose money treating Welsh patients because the Welsh government doesn't pay the same amount for treatments as the British government does. More Welsh patients have to be treated to achieve the same income as they would receive if treating only English patients.

Added to this is the problem of the Welsh not paying their bills on time which resulted in at least two hospitals - Oswestry here in Shropshire and one in Bristol - threatening to refuse treatment to Welsh patients if they didn't hand over the cash.

An English patient's recent conversation with a consultant at Oswestry went something like ...

Patient: So when am I likely to get my operation?
Consultant: Probably around November unless you live in Wales
Patient: Why, what difference would it make if I lived in
Wales?
Consultant: Well, with all the free prescriptions and free parking
they get and they don't pay us us enough for treatment, Welsh patients get
pushed down the waiting list

I'm not sure if this is official hospital policy or an unofficial protest by consultants but I expect it will annoy the Welsh immensely, especially given the number of letters recently in the Shropshire Star trying to defend the special treatment the Welsh are getting (including putting Welsh signs in Oswestry hospital). There is a simple solution if the Welsh do start getting shirty over being pushed down the waiting lists - they could spend some of the multi-billion pound annual subsidy they get from the English taxpayer building some of their own hospitals.

English hospitals refuse to treat Welsh

A row has erupted over Welsh patients being treated in English hospitals thanks to North Bristol NHS Trust.

Back in July 2006 Oswestry Hospital threatened to stop accepting Welsh patients because Powys Local Health Board wasn't paying its bills. An agreement was reached to prevent it happening at Oswestry but now North Bristol is having the same problem only this time the situation hasn't been resolved amicably and Welsh patients are no longer being admitted to their hospitals.

The Western Mail (a Welsh newspaper) suggests that the "row over NHS access is frankly ridiculous" and that North Bristol should continue to treat Welsh patients that they're not being paid to treat despite having a statutory obligation to ensure that they remain financially viable. The example of Shrewsbury & Telford NHS Trust continuing to treat Welsh patients despite an annual cost of £2m to do so is cited as an example: "If it can be made to work in Mid Wales and Telford and Shrewsbury, North Bristol NHS Trust needs to provide a pretty compelling case as to why it can’t work there".

What happened in Shropshire clearly wasn't a one-off but the question now has to be how many times this has happened in the past and whether this is going to keep on happening in the future. The English taxpayer already subsidises the superior Welsh health service, English hospitals treat Welsh patients at a reduced cost to their Local Health Board and now it looks like English hospitals are treating Welsh patients for free because Welsh Local Health Boards aren't paying their bills.

I have phoned the reporter who wrote this story and explained that it's not fair that English NHS Trusts should be expected to make concessions when the English already subsidise the Welsh NHS and when English hospitals are providing services to Welsh patients at reduced prices. She said she hadn't thought about it in that way and agreed that it wasn't fair and that she would do some more investigation into cross-border health services.