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KMID : 0986720000080020047
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Korean Journal of Medicine and Law
2000 Volume.8 No. 2 p.47 ~ p.62
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Private Autonomy in the British Health System
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박형욱
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Abstract
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There is a tendency in commentary on the NHS to discuss it as though it is the only healthcare system in the United Kingdom and doctors but this has never been an accurate reflection of the situation. Public-private ties has been established with the founding of the NHS and over the 50 years and these ties have remained remarkably stable. Medical services are provided outside the framework of publicly funded medical care, ie private medical care. The private sectors share of total spending on health care rose from around 3% in the 1960s to 14% in 1985 and to 16% in 1992. Any physician is free to work entirely independent of the NHS. In other words, registered mdedical practioners will usually work either within the NHS, as general practioners or hosptial doctors, or in private practices. These are not mutually exclusive. NIIS allowed those patients who could afford it to have access to both private health care and the NHS and it permitted consultants to have access to income from private practice while working in the NHS. It is often the case that a particular doctor working in a hospital as a consultant will undertake some private work as well as fulfilling his NHS duties. A general practitioner could never be viewed as a employee of an NHS. GP under NHS remains an independent contractor, but hospital consultant is employed by the health authority under a contract of service.
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