In reply to neilh:
Some thoughts, but all i could fit down in a lunch slot...
I find it slightly worrying that a 'simple solution' is being proposed.... because they never are:
Ignoring emergency treatment.
Things I would expect to be needed for it to be a useful system:
1) Training ALL staff in all forms of acceptable documentation. You will find that hospitals are 24 hours now, some consultations happen 'in the community'. This means I see my specialist in a place with no receptionist. All paperwork is done by the specialist.
2) A system that will help identify fraudulent information.
3) An IT system capable of SAFELY recording this information. Remember it will have to be online and could well be a target of cyber-attack and leave millions of vulnerable individuals details (and possible high quality info e.g. passport scans/utlitiy bill info) available for all and sundry for a cheap price on the internet of dark web.
4) Auditing of this information. Just because somehow has a driving license or utulity bill, doesn't mean they shouldn't pay. Just because some says they saw a piece of ID doesn't mean they did, in any large system there will be a very few who will compromise it.
5) A system that integrates with payment systems.
Questions:
1) What happens to Mabel, 96, who forgets her ID on the first day of treatment?
2) What is the likely cost to the NHS of missed appointments through having no acceptable form of ID after the booking has been made?
3) Is the ID check made on the 'first day of treatment' (e.g. by the GP) and then good for the duration of the treatment, or repeatedly for each session?
4) What happens to persons whose circumstances change - e.g. become foreign citizen, become UK citizen, become eligible for free treatment after payment begin , e.g progression of illness to involve other specialisms
5) would the paying customers, sorry patients(!) become more demanding at the expense of other patients. That 1 minute consultation costing £100 or £200 might be the patient saying, sorry, I have paid for X time and you will give me X time, which prevents that consultant from seeing another patient.
My concern is that this becomes another reason for an expensive, poorly implemented, (IT) system that may shut people out of treatment who are eligible, will cause the deterioration or demise of someone irrespective of eligibility, or is the justification for a system that is the basis of a pay-per-treatment system.. and while we are at it, get the 'foreigners' to pay for it. At what cost to the rest of the NHS system? Do we really want to employ MORE people to do the job of checking and buy in systems to enable the checking if this costs is more than, or even a only reasonable proportion of the money that would be reclaimed.
Anyway, won't this be solved easily soon anyway because we have left the EU and there won't be any foreigners in the country?