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Medicine and Social JusticeEssays on the Distribution of Health Care$
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Rosamond Rhodes, Margaret Battin, and Anita Silvers

Print publication date: 2012

Print ISBN-13: 9780199744206

Published to Oxford Scholarship Online: May 2015

DOI: 10.1093/acprof:osobl/9780199744206.001.0001

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Allocating Health Care Resources in the UK

Allocating Health Care Resources in the UK

Putting Principles into Practice

(p.219) 17 Allocating Health Care Resources in the UK
Medicine and Social Justice

Mark Sheehan

Tony Hope

Oxford University Press

This chapter examines the ethical principles behind just allocation of health care resources in the UK, with particular emphasis on the National Health Service (NHS). These ethical considerations include equality of outcome and equality of persons or equity; the latter can be considered through the principles of fair process, need, and rescue. The chapter analyzes how these ethical principles work in practice on the national, regional, and local levels. The national level is governed by the National Institute for Health and Clinical Excellence, and uses the principles of cost effectiveness and equity in order to make fiscal and clinical recommendations to the lower levels. The chapter also looks at the Oxfordshire Primary Care Trust and how it uses the South Central Ethical Framework to make decisions about why an individual patient should receive a treatment that is not usually covered by the NHS. Finally, it discusses the issue of rescue and Individual Funding Request (IFR) panels.

Keywords:   resource allocation, health care resources, UK, National Health Service, National Institute for Health and Clinical Excellence, cost effectiveness, equity, Oxfordshire Primary Care Trust, South Central Ethical Framework, rescue

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