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Are short term savings worth long term costs? Funding treatment for personality disorders

Published online by Cambridge University Press:  02 January 2018

D. Menzies
Affiliation:
Henderson Hospital, 2 Homeland Drive, Sutton, Surrey SM2 5LT and St George's Hospital Medical School, Section of Forensic Psychiatry, Tooting, London SW17 0RE
B. M. Dolan
Affiliation:
Henderson Hospital, 2 Homeland Drive, Sutton, Surrey SM2 5LT and St George's Hospital Medical School, Section of Forensic Psychiatry, Tooting, London SW17 0RE
K. Norton
Affiliation:
Henderson Hospital, 2 Homeland Drive, Sutton, Surrey SM2 5LT and St George's Hospital Medical School, Section of Forensic Psychiatry, Tooting, London SW17 0RE
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The new system of funding introduced by the National Health Service reforms has led to an increased awareness of financial concerns within the NHS. This was indeed one of the main aims of the reforms, with the expectation that a more efficient and better quality service would result. This may be a realistic aim, as long as clinicians' freedom to make appropriate secondary and tertiary referrals do not become totally dependent upon financial considerations. Yet it has become clear from findings within our own unit, Henderson Hospital, that, in at least 42% of cases, requests for ECR funding for treatment were refused on a purely financial basis (Dolan & Norton, 1992).

Type
Original articles
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 1993

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