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On the other hand, the national health insurance systems in other countries (e.g. Germany) have dispensed with the need for referral; direct access to a specialist is possible there. [3] There has been concern about opportunistic "health tourists" travelling to Britain (mostly London) and using the NHS while paying nothing. [4]
The NHS e-Referral Service (ERS) is an electronic referral system developed for the Health and Social Care Information Centre by IT consultancy BJSS. It is used by NHS England and it replaced the Choose and Book service on 15 June 2015. [ 1 ]
The NHS is free at the point of use for the patient though there are charges associated with eye tests, dental care, prescriptions, and many aspects of personal care. The NHS provides the major part of healthcare in England, including primary care, in-patient care, long-term healthcare, ophthalmology and dentistry.
When the NHS was established in July 1948 dental treatment was free. Demand on the service was enormous. About a quarter of the dentists joined the NHS and by November 1948 83% had joined. Dental health in the UK was worse than that of Germany. In the first nine months of the NHS 4.5 million teeth were removed and 4.2 million teeth were filled.
Private healthcare services are normally provided as a top-up for NHS services (free of charge) or funded by employers through medical insurance as part of a benefits package to employees. Most private care is for specialist referrals from the NHS. Private healthcare has cut waiting times for some patients. [1]
The Health and Social Care service was created by the Parliament of Northern Ireland in 1948 after the Beveridge Report.From 1948 to 1974, hospitals in the region were managed by the Northern Ireland Hospitals Authority and hospital management committees, and then transferred to four health and social services boards, along with responsibility for social care.
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