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1 Mayıs 2017 Pazartesi

Critics slam "rip off" 50p-a-minute charge to call patients" hospital phones

Relatives who call patients in hospital are still being forced to pay “rip off” charges of 50p a minute despite a promised clampdown on the issue.


The firm Hospedia, which runs bedside TV and phone services in NHS hospitals and made £21.2m in revenue last year, makes people call loved ones via costly 070 numbers. The charges vary from hospital to hospital, but many trust websites say they cost about 50p a minute or more.


Callers are also forced to listen to a lengthy recorded message of about 70 seconds – which racks up charges before they are even connected to their loved one.The message contains information already obvious to the caller, such as the fact the patient is in hospital, and tells callers to be “patient”. Critics say patients are being treated as “cash cows” and described the charges as “extortionate”.


Hospedia currently manages TV and bedside phone services in 150 NHS hospitals, installing services for free in return for keeping the money charged to patients and relatives.


The firm said in 2014 it planned to phase out the use of 070 numbers but it has not happened. Ofcom reviewed the high costs in 2006 following complaints from users and recommended a substantial reduction in incoming call charges.


It urged the Department of Health to review all aspects of the system, and the way these costs appear “to be borne disproportionately by friends and family”.


The department looked at the issue and agreed to consider a skip facility at the start of the recorded message, enabling callers to bypass it and reduce the cost of the call. But this never came into effect and high call charges have remained.


A health department report in 2007 concluded that decisions on phones should remain with local hospitals. MPs on the health select committee also recommended a reduction in phone costs and called for a skip facility on the recorded message.


Hospedia refused to answer several questions posed by the Press Association, including how much money it makes from 070 numbers and why it still uses them.


A spokesman said: “Ofcom granted us use of the 070 number range to enable every bedside unit to have its own unique telephone number so that friends and relatives can call patients directly, alleviating pressure on nursing staff having to field calls.


“The patient’s bedside phone number is unique to each patient’s account and can follow them around the hospital if they are moved bed, a frequent occurrence.”


He said Hospedia offers free TV on children’s wards and free channels BBC1, BB2, ITV, Channel 4 and channel 5 from 8am to noon on adult wards. Outbound calls to landlines are also free.


He added: “We believe we offer an excellent service, which would not be provided at all if it weren’t for us taking on the investment and on-going management and support costs.


“Patients can choose to pay for our services, beyond those we offer for free, or not.”


But Liberal Democrat leader Tim Farron said: “These charges are a total rip off. When channels are free at home and people have already paid for their TV licence, it is unfair for them to need to pay it again.


“If someone is to spend four weeks in hospital with a full TV package that is the same price as their yearly fee.


“Hospitals and these businesses are treating the sick as cash cows.


“From hospital parking charges, TV packages to making people call expensive phone services, it seems like they try to eke out every bit of cash they can, it’s frankly unacceptable.”


Liz McAnulty, chair of the Patients Association, said: “Phone contact can be hugely valuable and reassuring to people in hospital and their loved ones at home.


“Any facility to provide this must offer a high quality service at a fair price, but Hospedia’s service appears to fail these tests badly.


“It is unacceptable for people calling someone in hospital to be charged heavily for 70 seconds before they even get through.”


Caroline Abrahams, charity director at Age UK, said: “Since older people typically have longer hospital stays and do not always have access to a mobile phone, they and their families are particularly likely to be impacted.”


Lynda Thomas, chief executive for Macmillan Cancer Support, said the cost of calls was “shocking”.


She added: “When you are having cancer treatment, getting a call from a relative can make a huge difference as you can share your worries, seek reassurance, or just hear their voice.


“But if relatives have to pay extortionate amounts to make these calls they may not call, cut it short, or shoulder the burden of these high charges, at a time when the whole family may be struggling financially.”


A spokeswoman for Ofcom said it was “concerned” about 070 costs and wished to hear from customers as part of its ongoing monitoring.


She said there is no requirement on Hospedia to use 070 numbers, adding: “We are concerned about the cost of making calls to and from hospital patients.


“Following an investigation into this, we referred our findings to the Department of Health, which has since changed its rules on mobile phone use in hospitals.


“We are glad that more patients now have the option of using their mobiles when in hospital, but arrangements for bedside phones are managed by the NHS.


“We want to ensure adequate safeguards for consumers so we are examining the use of 070 number ranges, amid concerns that the cost of calling these numbers can be confusing.


“We welcome evidence of any harm so we can further protect consumers.”


A health department spokeswoman said: “Suppliers should always put patients first in the way they provide services.


“Staying connected to friends and family while in hospital is crucial and we expect local hospitals to tackle anything that prevents this.”


Last year, Hospedia doubled its minimum price for a TV package from £2.50 to £5.


Prices for TV packages vary between hospitals, with the Big Bundle TV and internet package costing £17.50 for two days at Newcastle General, but £15 at Ipswich Hospital. Five days can cost £35.


Sky Sports can cost an extra £10 on top each day. Longer-term packages are less costly.



Critics slam "rip off" 50p-a-minute charge to call patients" hospital phones

26 Ocak 2017 Perşembe

Royal College of Surgeons slam plans to cut back on hip and knee replacements

The Royal College of Surgeons has hit out at cost-cutting plans to ration who can receive hip and knee replacements.


Three clinical commissioning groups (CCGs) in the West Midlands have proposed slashing the number of people who qualify for hip replacements by 12% and introducing a 19% cut over who is eligible for knee replacements.


Under the new rules patients would now need to have such severe levels of pain that they cannot sleep or carry out daily tasks to qualify for an operation. Board papers reported by the Health Service Journal suggest an “opportunity to reduce expenditure on hip and knee replacement surgery” by £2m a year.


This would include only treating “severe to the upper end of moderate” cases, and people who are obese with a body mass index of 35 or over who need to lose 10% of their weight unless their problems were very severe.


Documents said a “patient’s pain and disability should be sufficiently severe that it interferes with the patient’s daily life and/or ability to sleep”.


Redditch and Bromsgrove, South Worcestershire, and Wyre Forest are the CCGs that intend to change their scoring system for eligibility, hoping to prevent about 350 operations needing to be carried out each year. But the Royal College of Surgeons has said there is “no clinical justification” for their plans.


The move is the latest in a round of cost-cutting by CCGs – with some slashing access to treatments, expensive drugs and IIVF despite guidelines from the National Institute for Health and Care Excellence (Nice).


Stephen Cannon, vice president of the Royal College of Surgeons, said: “We appreciate that the CCGs face significant financial challenges, which now mean they are looking at which groups of patients they can target to save money.


“While the CCGs have stated they hope this policy will save them £2m a year, it is unclear whether they have considered the costs of not treating a patient. This could include the cost of pain relief medication and a later operation when the patient does meet the required pain and weight thresholds.


“Delaying access to surgery also adversely affects a patient’s quality of life and surgical outcomes, meaning the operation may not be as beneficial as if it had been carried out earlier.”


He said the scoring system used by the CCGs – known as the Oxford scoring system – were designed to measure outcomes of care and “should not be used to create barriers to care”.


He added: “Such criteria are in explicit contravention of Nice and surgical commissioning guidance, and have no clinical justification in being applied to a general population to determine who gets NHS treatment. This policy is the latest demonstration of how NHS financial pressures are directly affecting patients.”


Paul Green, from Saga Group – which focuses on needs for over-50s, said: “To suggest that it is acceptable for people to have to wait until they are unable to sleep before they are eligible for an operation is an outrage, how would these people feel if that was their mother or father or grandparent?


“Remaining mobile is fundamental for people’s mental as well as their physical wellbeing, it appears an unkind cut and the bean counters should examine their conscience.”


A spokesman for NHS Redditch and Bromsgrove CCG said: “The Oxford scoring system is a guidance for clinicians and they recognise that many patients will benefit from physiotherapy and weight loss before considering surgery.


“If a patient feels that they require this surgery but do not meet these criteria, there is a clear appeals system via individual funding requests whereby the effects can be considered upon the patient and the decision made regarding eligibility for funding.”



Royal College of Surgeons slam plans to cut back on hip and knee replacements

22 Ocak 2014 Çarşamba

Michelle Obama slam dunks on Miami Heat basketball player


Michelle Obama dunked on the reigning Most Beneficial Player (MVP) of the National Basketball Association, LeBron James, throughout the recording of a public service announcement at the White House on Tuesday.




As Miami Heat coach Eric Spoelstra was interviewing basketball player Dwyane Wade in a video shoot, the First Lady playfully slammed the ball down as James held a toy basket in the background.




For the duration of the rest of the advert, the Heat gamers and Mrs Obama offer suggestions on healthful eating as element of the Very first Lady’s “Let us Move” initiative.




Michelle Obama slam dunks on Miami Heat basketball player

Michelle Obama slam dunks with Miami Heat for Let us Move! initiative – video

Miami Heat and 1st Lady Michelle Obama join forces at the White Home to encourage healthful eating and exercising among children. The 1st Lady exhibits off her basketball abilities by dunking on a modest basketball hoop behind Dwayne Wade. The Let us Move! campaign was developed by Michelle Obama to fight childhood weight problems



Michelle Obama slam dunks with Miami Heat for Let us Move! initiative – video