Patients likely to lose out in independent Scotland

If Scotland achieves independence from the UK, patients north of the border requiring specialist surgery elsewhere in the UK could have to go through the same process as if they were travelling to a European Union state, leading, some argue, to delays in treatment and medical costs having to be paid by the patient.

The debate over Scotland’s constitutional future has taken on a new dimension.

A guest piece over the weekend in Scotland on Sunday raised fears about the ability of Scottish patients to access highly specialist procedures available only elsewhere in the UK.

Writing for the paper, 26 year old Sally Russell from Inverness wrote movingly about her battle with cystic fibrosis, which led, following a lung collapse, to her requiring a highly complex double lung transplant.

Outlining how the Freeman Hospital in Newcastle was her best option for a successful operation, she explained:

“The Freeman Hospital in Newcastle is pretty much one of the best places in the world for lung transplants. My consultant in Glasgow told me that when my time for a transplant came, the operation would take place at the Freeman’s as it was the best – and also there was nowhere in Scotland that could do it.”

Praising the staff at the hospital who enabled her to undergo a successful procedure, she continued:

“My transplant took place on 11 August, 2011. The surgeon who operated on me in Newcastle was Mr Pillay. He gave me new lungs. He has given three other young women from Glasgow like myself new lungs. He gave all of us a chance of living, he gave all of us a new life. Every day that I spend with my husband, my family and my friends I owe to my donor, his or her family, and the team in Newcastle.”

Concluding that she felt her story needed to be part of the debate over whether Scotland should become an independent nation she argued:

“What we have now is the ideal situation. We have an NHS in Scotland that is delivering world-class treatment to thousands of people across the country. But we also have specialist centres like the one I attended. The Freeman in Newcastle is the dedicated lung transplant centre for Scotland, Northern Ireland and the north of England. It would, of course, be possible to set up a transplant centre in Scotland, but it would not be possible to replicate the expertise developed through the large number of transplants performed over decades.

“The team in Newcastle don’t do transplants occasionally, it is their day job, they are ­doing them every week. Specialist­ centres – like Freeman’s in Newcastle – are available to everyone, whether you are from Scotland, England, Wales or Northern Ireland.

“I don’t want to have to rely on cross-Border agreements to get the care that I need. I don’t want the people who are sitting on the transplant list right now to have to worry about anything other than getting the treatment that will give them back their lives.”

Russell’s concerns have been seized upon by the Better Together, which has argued  that patients north of the border requiring specialist surgery elsewhere in the UK would have to go through the same process as if they were travelling to a European Union state, leading, the campaign argues, to delays in treatment and medical costs having to be paid by the patient before being reimbursed.

Scotland on Sunday went on to explain:

“Health boards in Scotland can at present arrange travel to specialist transplant centres such as Freeman Hospital in Newcastle or Papworth Hospital in Cambridge and there are few, if any, costs for patients. However, if Scotland votes to leave the UK in the 2014 referendum, patients seeking treatment in England, Wales or Northern Ireland would have to use one of two complex routes agreed between EU member states. Those healthcare arrangements are rarely used because of the complexity.”

Outlining her concerns about the impact independence would have on the level of healthcare available to Scots, shadow health secretary, Labour’s Jackie Baillie, observed:

It doesn’t matter if you are from England, Wales, Northern Ireland or Scotland – you can now go to any part of the country to get the care that your condition requires. You don’t need to worry about anything, other than getting the treatment you need.

“If we leave the UK, all of this will change. We would be replacing a simple, internal relationship with an international, cross-Border one.”

Echoing Baillie’s concerns, Margaret Watt, chairwoman of the Scotland Patients Association, noted:

“Whatever the outcome of the referendum, there is already pressure on patients when it comes to travelling for medical treatment and the system for treatment south of the Border is complicated enough. We wouldn’t want to see patients placed with any additional burdens.”

Scotland’s health secretary, Alex Neil, however, argued that an independent Scotland would retain existing arrangements with specialist centres elsewhere in the UK.

Assessing the political implications of Sally Russell’s contribution to the debate, Scotland on Sunday’s editorial observed:

“The political issue is that it demonstrates the administrative reality of Scotland and England being – in an official sense at least – foreign countries to each other, in the same way that the UK is to, say, Belgium at the moment. It is a strong campaigning suit for Better Together because they know that the harder the SNP and Yes Scotland work to spell out how these barriers could be worked around, the more they draw attention to the barriers themselves.

“Privately, some Nationalists are dismissive of the kind of campaigning that looks in granular detail at the administrative details of how an independent Scotland would work. When the NHS was created, they argue, did we worry about the number of bedpans that would be required? Or did we simply back the principle and get on with delivering it, and work out the detail as we went along? And they are right – for a committed supporter of independence, these are mere details. The problem is that the people the Yes campaign needs to persuade are not committed supporters, and the kind of details raised by Sally Russell are the kind that make them pause.”

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25 Responses to “Patients likely to lose out in independent Scotland”

  1. LB

    And patients in Stafford won’t be able to travel north to get treatment at a clean hospital. They will have to put up with the odds of being killed.

  2. Thomas Coles

    You forget to point out that patients in England are like to lose out, after the NHS is privatized.

    There are already ‘internal market’ transfers between NHS England and NHS Scotland (which are separate entities) – this could easily continue post-independence.

    Of course I would support the sort of NHS you describe – where there is simply patient-led care. However, since market reforms are going through in England, what’s to stop the Scottish NHS commissioning services from the English NGS?

    Why is there no response from Yes Scotland here?

  3. cynicalhighlander

    Yet another scare story by the BT who still haven’t found that elusive particle to keep us tethered to one of the most unequal countries in Europe.

    Comment from elsewhere.

  4. Rufus

    Not convinced this will be an issue – surely there will be agreements put in place for transitional arrangements in the event a YES vote. Don’t know enough about it but aren’t there already treatment arrangements with other EU countries as well? The story doesn’t really seek to answer the questions it poses. A follow up article would be helpful – otherwise it looks a bit like a scare story and that’s not helpful to the NO campaign.

  5. Newsbot9

    Yes, because they won’t have a NHS under your plans. So they’ll have to hope that the treatment they can’t afford wasn’t necessary.

  6. Newsbot9

    Why would they continue? There will be a border, and these things are expensive even within the same country. More likely it’ll be done with private arrangements, potentially at the expense of the Scottish health system.

  7. JPJ2

    The usual unionist nonsense. A DUBLIN woman suffering like Miss Russell from cystic fibrosis received a double lung transplant recently in MANCHESTER.
    Unionists still employing the “BIG LIE” tecnique, it is all they have ever got..

  8. Raging Leftie

    Unfortunately I think that Thomas Coles is right at least inasmuch as that patients in England are likely to lose out as privitisiation in the NHS increases.I don’t know enough about this subject to talk at length about it but this seems a bit of a scare story really?

  9. Newsbot9

    That’s right, keep talking up your tactics, and trying to pin them on everyone else.

    And there’s a special agreement there. But an independent Scotland couldn’t even be part of the CTA if you wanted to join the EU, so…

  10. Brian S.

    Yet more from the endless stream of negative propaganda authored by Ed Jacobs….

    Your English NHS is being destroyed as you sit there sucking your poison pen trying to think up more negative spin about life in an independant Scotland, Ed!
    Come to Scotland and start paying £0 for your prescriptions!

    Anything positive to say about Scotland being part of the Union, Ed?
    I’m listening……
    Sorry, I didn’t hear that…..

    P.S. I am of course being facetious, as none of the authors of these blogs ever reply to any comments. Ed Jacobs must be one of the founding members of the “Bitter Together” campaign.

    I have to admit that some of the posts on this site are sometimes slightly left-wing and almost socialist, so worth reading, but these negative anti-SNP anti-independence silly stories are pathetic, lacking in any moral justification.

  11. Newsbot9

    Why would he go to Scotland, when you’re planning to deport him?

    Keep calling only slightly left wing stories “worth reading”, you occasionally need a break from the Torygraph, eh.

  12. Newsbot9

    No, it’s talking about the consequences which the SNP’s right hasn’t considered. The sane ones don’t come here much.

  13. cynicalhighlander

    Keep calling only slightly left wing stories “worth reading”, you occasionally need a break from the Torygraph, eh

    That is why we seldom come here as it is on a par with the estimable ‘Cochers’ your partner in the BT manifesto.

  14. cynicalhighlander

    UK Parties show Labour as an increasing right wing party chasing the voters in the Conservative SE.

  15. Newsbot9

    Yes, keep talking up your Tory conspiracy theories.

  16. Newsbot9

    Yes, and I’m sure Tories like you find that funny.

  17. RolftheGanger

    The less than insightful authors of Unionist scare stories such as this one fail to observe the other side of the coin. Painting a future EWNI as being so selfish as to refuse to countenance joint arrangements on matters of life and death – simply highlights the amoral, greedy, inhumane and self centred nature of the Westminster mindset. Who would want to stay in a Union run by people of such narrow, inhumane, bitter and twisted thinking?

  18. cynicalhighlander

    Self denial is not funny but if you don’t believe that Labour is a right wing party when were illegal wars, Trident, prescription charges, privatisation changed into socialist policies?

  19. Newsbot9

    Well, why are you doing it? And they’re centralist by most measures. Moving right. Socialism? Hasn’t been an issue for them since New Labour.

  20. cynicalhighlander

    What utter inane nonsense as the Labour party have been a right wing party since Blair corrupted it and that ideology has not changed one iota.

  21. Newsbot9

    Ah yes, good UKIP dogma, “they’re all the same, waaah”.

    Are you *really* playing that card?

  22. cynicalhighlander

    Is Labour going to reverse the ‘bedroom tax’? Tell me why the Labour party bankrolled private corporate businesses with taxpayers money? Why did the Labour party assist rendition of innocent individuals so that they could be tortured? None of which are left/socialist policies and are indicative of right wing authoritarian parties aka Labour.

  23. Newsbot9

    They’re centralist. There’s still clear water between them and the Tories. Increasingly less, to be fair, but…

  24. Kevin Donnelly

    FACT: The Scottish and English NHS are separate organisations which already have cross-border agreements in place – it’s not all one direction. Why should this change? In who’s interest?

    FACT: EU citizens have a right to treatment across the EU (at present that includes the UK), therefore Scottish patients can continue to receive treatment in England, Wales and Northern Ireland, as patients from there can continue to receive expert provision in Scotland’s NHS.

    (We will have to see if England and rest of UK, votes to leave the EU after Scotland becomes independent)

    So, whilst this story claims an apparent threat, Sally and other people reading her story, could have been quite easily been reassured .

    Instead she and her story has been used and abused by the Better Together Campaign and a clearly biased media, intent to promote any scare-story and any fiction possible about Scotland’s independence.

    To pray on the fears and anxieties of those who rely on cross-border medical specialism (from Scotland and the rest of the UK) is unforgivable and the worst type of negative campaigning imaginable.

  25. John Ruddy

    Since the SNP are going to do nothing to stop it (and they have the power to do so), I dont think you have anything to shout about on that score.
    Alex Neil said it was nothing to do with the Scottish Government… what was that about standing up for Scots?

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