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Restricted access to the NHS during the COVID-19 pandemic : is it time to move away from the rationed clinical response?
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Goyal, D., Mansab, F., Naasan, A., Iqbal, A., Millar, C., Franklin, G., Thomas, S., McFadden, J., Burke, D. and Lasserson, Daniel (2021) Restricted access to the NHS during the COVID-19 pandemic : is it time to move away from the rationed clinical response? The Lancet Regional Health. Europe, 8 . 100201. doi:10.1016/j.lanepe.2021.100201 ISSN 2666-7762.
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Official URL: https://doi.org/10.1016/j.lanepe.2021.100201
Abstract
Recently a Lancet Commission examined the future prospects of the NHS in the wake of COVID-19. The report cites poor healthcare capacity and chronic staff shortages as key contributing factors to the UK’s inadequate pandemic response. Notable strengths included universal access, the goodwill of staff, and the ability to generate innovative solutions - qualities that are likely to have averted an even deeper national crisis [1].
The prosperity of the NHS is intrinsically connected to the prosperity of the nation. Access to healthcare influences morbidity, mortality, economic activity, and whether or not social restrictions are necessary [2,3]. Public health measures such as timely implementation of social distancing are also important to limit mortality, but going forward it is the capacity to respond in a clinically effective and decisive manner that is vital to diminish the threat associated with the virus [4].
The importance of examining the national clinical response to SARS-CoV-2 cannot be overstated. Arguably the greatest mistake of this pandemic would be failing to prepare for the next. There are also the looming unknowns of SARS-CoV-2 variants [5], the higher rates of Long COVID following more severe disease [6], and the increased healthcare demands associated with delayed presentation of COVID-19 pneumonia [7-11]. Improving the tolerance of society to background levels of SARS-CoV-2 will require an improved clinical response. With this in mind, we examine one aspect of the UK’s clinical response that remains in place today: restricted access to healthcare.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Health services accessibility -- Great Britain, National health services -- Great Britain, Public health -- Great Britain, Health care rationing -- Great Britain, COVID-19 Pandemic, 2020- -- Great Britain | ||||||||
| Journal or Publication Title: | The Lancet Regional Health. Europe | ||||||||
| Publisher: | The Lancet Publishing Group | ||||||||
| ISSN: | 2666-7762 | ||||||||
| Official Date: | 1 September 2021 | ||||||||
| Dates: |
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| Volume: | 8 | ||||||||
| Article Number: | 100201 | ||||||||
| DOI: | 10.1016/j.lanepe.2021.100201 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 20 August 2021 | ||||||||
| Date of first compliant Open Access: | 23 August 2021 | ||||||||
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