Sajid Javid calls for patients to pay for GP and A&E visits

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Sajid Javid calls for patients to pay for GP and A&E visits
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Radical reforms needed to tackle waiting times, says former health secretary

Photograph: Peter Nicholls/ReutersPhotograph: Peter Nicholls/ReutersPatients should be charged for GP appointments and A&E visits,The former health secretary said “extending the contributory principle” should be part of radical reforms to tackle growing waiting times.

In an opinion piece for the Times, he called for a “grown-up, hard-headed conversation” about revamping the health service, noting that “too often the appreciation for theThe prime minister, Rishi Sunak, is not “currently” considering the proposals, Downing Street told the newspaper. During his campaign for the Tory leadership, Sunak set out plans to issue £10 fines to patients who miss GP or hospital appointments.after it was widely criticised by health leaders, signalling the controversy surrounding any reforms that could threaten the principle of free NHS care at the point of need.

Javid said the NHS’s only rationing mechanism – to make people wait – should be replaced by means-tested fees, while “protecting those on low incomes”.“This conversation will not be easy, but it can help the NHS ration its finite supply more effectively.” He pointed to Ireland’s “nominal” €75 fee for attending an injury unit without a referral, and £20 fees charged for GP appointments in Norway and Sweden as possible models.Archie Bland and Nimo Omer take you through the top stories and what they mean, free every weekday morningNewsletters may contain info about charities, online ads, and content funded by outside parties.

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