Independent scholar, Southampton, UK.
Med Leg J. 2023 Sep;91(3):153-155. doi: 10.1177/00258172231159756. Epub 2023 Jun 8.
The National Health Service was set up to provide healthcare to every citizen, based not on the ability to pay, but on need. However, the Secretary of State for Health's duty under section 1 of the National Health Service Act 2006 to promote a comprehensive health service is to provide services that can be provided within the resources available. As those resources are not unlimited, it is necessary to ration them. The issue of rationing of resources in the NHS came up again in v [2021] EWHC 3291 (Admin). This paper reviews that case and comments on it, looking at why there is rationing of NHS resources and at the approach of the courts to the issue. It concludes that, although rationing of NHS resources is controversial, it is lawful and necessary.
英国国民医疗服务体系(NHS)的设立宗旨是为每一位公民提供医疗保健服务,服务的提供依据的是实际的医疗需求,而非支付能力。然而,根据《2006 年国民医疗服务法》第 1 条,卫生大臣有义务促进全面的医疗服务,也就是在现有资源的范围内提供服务。由于这些资源并非无限,因此必须对其进行分配。NHS 资源分配的问题在[2021] EWHC 3291(Admin)一案中再次出现。本文回顾了该案并对其进行了评论,探讨了 NHS 资源分配的原因以及法院对此问题的处理方法。本文的结论是,尽管 NHS 资源的分配存在争议,但它是合法且必要的。