Lord Walton asks questions on health insurance

In the House of Lords, Lord Walton, a former chairman of the General Medical Council, tabled two parliamentary questions.



The first asks whether the government reassessed restrictions imposed by BUPA and other private insurers on the choice of hospital consultant or to all insured patients who can be identified, regardless of the advice of their doctor, and the impact on health care is.



This follows the launch of the BUPA open referral process to private medical insurance. INSTEAD OF refer patients directly to a consultant physician to complete an open referral form provided by the insurer simply stating the nature of the condition or procedure, but without naming a consultant. Patients then Bupa contact and pre-authorization, provided that it is covered by their policy to get, get a short list of BUPA recognized consultants who can see them.



Lord Walton's point is that Bupa claims are in direct contradiction with the results of the Office of Fair Trading market study of private health care: "In their submission to the OFT market study PMI providers indicated that they are not sufficiently detailed information has the quality of care offered by consultants recognized by them and were in most cases not be able to counsel patients Beyond Regarding information to the consultant specialty and location. "



Geoffrey Glazer of Federation of Independent Practitioner Organisations (FIPO) says: "Bupa has a number of statements about the variation in clinical practice between specialists, but was never comfortable on the hard data to produce in order to support the proposition that this The better results. implication that the recognized adviser or higher quality is totally unfounded. In fact, only those consultants who have agreed with the Insurers amount of the fees on the list of professional advisors, effectively selecting the patient limit. "



The second question asked what the government has to assess the extent to which Bupa and other private insurers exclude pre-existing conditions from their coverage, and its influence on health care made.

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