Further BMA advice following AXA PPP Ophthalmology Network initiative
29 October 2007
To all consultant ophthalmologists
Dear Colleague
We have over the years seen the emergence of managed health care initiatives from BUPA and other private insurance providers. A significant number of Ophthalmologists have expressed concern over such plans maintaining that patients should, after advice from health professionals, be referred to the Ophthalmologist of their choice that may then advise and treat with clinical freedom. BUPA then took the action of withdrawing its “Network” plans at national level.
You may have seen recent correspondence suggesting that AXA PPP is considering directing patients to designated providers. Such providers, who may be NHS Units, will choose Ophthalmologists/Anaesthetists to carry out these contracts. If so, this is managed healthcare where commercial considerations may outweigh patient choice and clinical freedom. You may remember that some Nuffield hospitals asked Ophthalmologists to enter into written contracts in similar circumstances when bidding for BUPA Network managed healthcare.
It is for each individual ophthalmologist to decide whether to participate in network arrangements or not. Our advice remains that managed networks could fundamentally compromise patient choice and quality of care for patients. We will keep you fully informed of progress.
Yours sincerely
Mr Rhod Daniel
Chairman
Ophthalmic Group Committee
Mr Simon Longstaff
Deputy Chairman
Ophthalmic Group Committee
Mr Derek Machin
Chairman
Private Practice Committee