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Thread: HIQA to set criteria for Elective surgery.

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    Politics.ie Member spidermom's Avatar
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    Default HIQA to set criteria for Elective surgery.

    Benefit of some scheduled surgery to be reviewed - RTÉ News

    IF...this is an attempt to reduce clinically unwarranted referrals from GPs, its perhaps not a bad move...(though the implication that GPs are clinically naive in relation to their patients is insulting)...more likely an attempt to reduce elective surgical waiting lists...We can presume that if however you can PAY for your surgery you will get it!!!...
    When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity.

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    Politics.ie Member damus's Avatar
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    Is the review going to be based on a quality and outcomes framework - or is it more of a case does it derive a clear clinical benefit - no - strike out!

    Is there any chance that HIQA will morph in to something along the lines of NICE who publish info on guidance, pathways and quality standards.

    National Institute for Health and Clinical Excellence

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    Politics.ie Member ger12's Avatar
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    Quote Originally Posted by damus View Post
    Is the review going to be based on a quality and outcomes framework - or is it more of a case does it derive a clear clinical benefit - no - strike out!

    Is there any chance that HIQA will morph in to something along the lines of NICE who publish info on guidance, pathways and quality standards.

    National Institute for Health and Clinical Excellence
    Talk alright of a NICE element to HIQA.

    Cosmetic surgery on the list. I wonder if that includes some breast reconstructions?
    At 12 weeks the “clump of cells” toes curl, her mouth makes sucking movements, she has a human face and if you prod the tummy she will move in response

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    Politics.ie Member spidermom's Avatar
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    Would presume so Damus.(as in along the NICE lines)...would "like" to think its purely along clinical line.

    Course,with preassessment of all elective surgeries in most of the teaching hospitals and the way all cases are rated currently that clinical benefit is already measured???


    Seems to me its the beginnings of the "money follows the patient" basket....but ONLY if you tick all the boxes of course!!........


    PLUS..of course ...If you can PAY...no worries...clinical benefit or nowt!!
    When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity.

    ALBERT EINSTEIN

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    Politics.ie Member ger12's Avatar
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    Quote Originally Posted by spidermom View Post
    Would presume so Damus.(as in along the NICE lines)...would "like" to think its purely along clinical line.

    Course,with preassessment of all elective surgeries in most of the teaching hospitals and the way all cases are rated currently that clinical benefit is already measured???


    Seems to me its the beginnings of the "money follows the patient" basket....but ONLY if you tick all the boxes of course!!........
    Don't NICE guidelines also take into account the financial implications?
    At 12 weeks the “clump of cells” toes curl, her mouth makes sucking movements, she has a human face and if you prod the tummy she will move in response

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    Politics.ie Member damus's Avatar
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    Yes NICE approves the use of drugs in the NHS....and NHS Trusts can also blacklist certain drugs based on the finance implications....and they do!

    There was an article in the Indo today and apparently from 2013 hospitals will be funded per out-turn of patients aka for money follows the patient. Does the HSE have a bottomless budget....on second thoughts don't answer that!

    http://www.independent.ie/national-n...s-3324054.html
    Last edited by damus; 13th December 2012 at 12:10 PM.

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    Who would deny sight to anyone by not removing their cataracts? For many elderly their only connection to the world is reading or watching TV, so we are going to remove that contact as well. And let's not replace their hip so they can lie in bed in pain getting bedsores, and the doctor can put them into a morphine coma state so they don't feel the pain of the hip or the sores. Is this what Ireland is coming to? Death panels for real.
    People who think they know everything are a great annoyance to those of us who do - Isaac Asimov

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    Quote Originally Posted by ger12 View Post
    Talk alright of a NICE element to HIQA.

    Cosmetic surgery on the list. I wonder if that includes some breast reconstructions?
    Or varicose vein surgery?

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    Well if you can't see those unsightly veins 'cos they won't do your cataracts then it's win-win!

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    Politics.ie Member spidermom's Avatar
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    Benefit of Scheduled Surgery to be assessed by HIQA | hiqa.ie

    Terms of reference and membership....NO orthopaedic representative.....and Stephen McMahon "our" patient rep.....

    "4. Consider the impact that implementation of clinical referral/treatment thresholds for scheduled surgical procedures is likely to have including resource and budget impact and the wider ethical or societal implications as appropriate"

    NICE...Whooping "Irish" Style!!!

    Will have to rattle cages me thinks!!....
    When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity.

    ALBERT EINSTEIN

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