Want to see a GP? Gipsies come first as
NHS tells doctors that travellers must be seen at once
Gipsies and travellers should be given priority in NHS
hospitals and GP surgeries, doctors have been told.
They will be fast-tracked for doctors, nurses and even some
dentist appointments above all other patients.
GPs
have also been told to see any travellers who simply walk in without an
appointment, even if all consultation times for the day are full.
Wait for it: GPs have been told to see
any travellers who simply walk in - even if all consultation times for
the day are
full. They will also be fast-tracked for nurses and dental appointments
They will also be given longer consultations than other
patients.
Five or ten minutes is the average but travellers will be given 20
minutes and allowed to bring relatives into the consulting rooms.
Staff
will be given 'mandatory cultural awareness' training so they can fully
understand what it is like to be a traveller or gipsy.
It raises the prospect that other patients will suffer worse
healthcare and have to wait even longer to see their GP.
The
guidelines have been introduced because, under race laws, gipsies and
travellers are defined as minority ethnic groups and the NHS is obliged
to consider their special needs and circumstances.
Yet no special treatment is promised for other groups such as
those from the Asian sub-continent or Africa.
The
guidance also encourages Primary Care Trusts to establish new services
for travellers if none exist, and to designate a senior manager to be a
named lead for 'Gipsy and Traveller Health'.
The rules form
part of the Primary Care Service Framework, drawn up by the NHS Primary
Care Commissioning - an advisory service for local health trusts - to
help all PCTs understand the Department of Health's policy.
It will go on trial for between three and five years, Although
PCTs
do not necessarily have to follow the guidelines, they could be
breaking human rights law and the Race Relations Act of 2000 if they do
not.
Groups covered by the framework include Scottish gipsy
travellers,
Welsh gipsies, bargees, circus and fairground showmen and new
travellers.
Tory health spokesman Andrew Lansley said: 'No
one should get priority treatment in the NHS apart from our Armed
Forces, to whom we owe a special debt of gratitude.
'Decisions about who should be treated first should be based
on a patient's medical needs, not their ethnic group.
'NHS
managers need to get off doctors' and nurses' backs and start letting
them get on with what they do best - looking after sick people.
'Such a policy of fast-tracking one section of society over
another goes against the founding principles of the NHS.
Labour's botched handling of the new GP contracts and
obsession with a
tick-box target culture in the NHS mean many people find it difficult
to get a GP appointment quickly.
'Families will feel aggrieved that it will now be even
harder.'
Mark
Wallace, from the Tax-Payers' Alliance, said: 'This kind of special
treatment is totally uncalled-for and utterly unjustified.
'The NHS is meant to treat people equally so matter who they
are or whatever their race.
Groups covered by the framework include
Scottish gipsy travellers,
Welsh gipsies, bargees, circus and fairground showmen and new
travellers
'The only priority should be how ill someone is, not their
politically-correct concerns.
'This
will be incredibly frustrating for people who have paid tax all their
lives to fund the NHS and are left struggling to get a doctor's
appointment and prompt treatment. H
'Hardworking people will be outraged at this double standard.'
The
NHS estimates there are 120,000 to 300,000 gipsies and travellers in
the UK but there are no firm numbers as the census does not include
them as a category.
Traveller spokesman Gratton Puxon, from the illegal camp at
Crays Hill in Essex, welcomed the initiative.
He
said: 'The problem stems from years ago when there was simply no access
to healthcare, but things have greatly improved. Health workers visit
the site quite regularly if people have chronic problems.'
The
Department of Health said: 'We are aware that gipsies and travellers
have experienced tremendous difficulties in accessing primary care.
'Partly as a result, community members experience the worst
health inequalities of any disadvantaged group.
'The
framework suggests fast-tracking for two reasons. First, as a matter of
urgency, inroads need to be made into the health problems of gipsies
and travellers.
'Second, if mobile community members are
not seen quickly, the opportunity could be lost as they move on or are
moved on. This should not be to the detriment of service provision to
the settled community.'
Daily Mail