The Future of Waiting Lists

Abstract

Waiting lists have been a cause of concern since the inception of the NHS. Many theories have been put forward to explain their existence and there have been many proposals to reduce their length. With the current changes in the NHS and the introduction of the Patient′s Charter has come a renewed emphasis on reducing waiting lists and waiting times. However, analysis of incentives within the new system suggests that waiting lists may be reduced by limiting access rather than by increasing treatment rate. Further, not only GP Fundholding, but also the contractual relationships between District Health Authorities and hospitals may lead to two‐tier systems, with admission priorities based on source of funding rather than clinical urgency. Overall, it is concluded that the NHS Review may result in fewer people obtaining treatment, but with shorter waits for those who do receive treatment.