9 thoughts on “Healthcare: Lessons from Guernsey?”

  1. Posted 10/08/2017 at 02:42 | Permalink

    All primary care is provided on a private basis whilst some secondary care and specialist services are free. Specialist (secondary care) services are only accessed via a referral from a GP. There is no reciprocal health agreement between Guernsey and the UK so it is advised that prospective residents consider taking out health insurance

  2. Posted 11/08/2017 at 17:52 | Permalink

    The Guernsey system sound great and bears many similarities with the australian system. The UK needs to reconsider some of the basic principles of the NHS if we are to get worldwide class care and shorter waiting lists

  3. Posted 12/08/2017 at 08:54 | Permalink

    I have just experienced Guernsey healthcare. I had to go to A&E in Guernsey I was seen by a Doctor in five minutes and was out within an hour.
    The charge for seeing the Doctor was £55 and an X-Ray cost £85. Because people have to pay there is never the situation of time wasters and without doubt the UK should seriously look at some form of payment as the situation is now critical.

  4. Posted 13/08/2017 at 09:35 | Permalink

    There are many islanders who don’t qualify for free treatment and can’t afford the insurance premiums. Many fall into this category when they retire and insurance via work ceases but age related premiums rise. Paying for GP visits, flu immunisation, blood tests etc means many people put off going to the doctor until it is an emergency. Also there is no real competition in the system. They all charge the same high rates and changing practice is complicated and carries a cost so it isn’t as good a system as the article suggests.

  5. Posted 13/08/2017 at 12:56 | Permalink

    Living in Guernsey I can confirm that this article is full of opinions of someone who hasn’t a clue what our health service is like. We would much prefer a different health service. This article has been written with information only from government or healthcare sources. If you want to know how it really works, ask the people.

    Every day I hear people complain of ailments that they cannot afford to go to the dr about. Every day many wonder if their ailments will turn out to be something more sinister but if you cannot pay for your appointment immediately, many dr surgeries will not allow you to be seen or will keep you waiting for hours while those who can afford it get treated first. And while we know our children need treatment for serious injuries, we treat them as best we can at home because a visit to a and e now carries up to £500 charges depending on what time you go and what treatment is needed. This is simply unaffordable for those who struggle to find the money to put food on the table each week. The 13% that “cannot afford it” are on benefit and quite rightly should have help but what about those who aren’t on benefit but a low income? Well, they have to find the money or not attend the dr. There is no help for working families.

    If you are referred to a specialist for x-rays, specialist screenings or more serious treatment etc most of it is then free but osteopaths, blood tests or minor surgeries done in the Drs office are all charged for and can run into hundreds if not thousands of pounds.

    This article claims it works. I can promise you it does, but as with everything else, only for the rich. The working class are left to suffer because they cannot afford a visit to the dr.

    The mental health service is appalling, rehab is non-existent, even smear tests which are free in the UK cost us £80+. Our hospital and maternity ward are excellent, albeit with limited facilities which sees patients sent off island for major surgeries or screenings. Personally, I’ve always found the Drs and nurses to be wonderful but a carefully worded article that suggests our system works is an insult to their hard work and dedication.

  6. Posted 14/08/2017 at 08:51 | Permalink

    Also a Guernsey resident, can I just point out that when Amy says “We would much prefer a different health service”, she is not speaking for everyone in Guernsey (in fact, I’d suggest very few). Our health service does not have the waiting times and many other maladies of the NHS in the UK. There is support available for islanders who genuinely cannot afford the GP bills, while secondary healthcare is free at the point of delivery.

  7. Posted 14/08/2017 at 14:41 | Permalink

    As President of the Committee for Health & Social Care in Guernsey I can advise that there was no input from us into this article, as suggested by Amy. What I would add is that whilst there may be lessons to be learnt from Guernsey by the NHS, and I am sure there are, the model of health and care in the Bailiwick (ie not just the island of Guernsey) is not sustainable. Like the UK, we have an ageing demographic which is putting more pressures on a reactive demand-based system. We are currently redesigning the model to be more pro-active, joined up and community focused because of that.
    We also need to tackle the issue of equity of access. The article talks about a £60 GP fee, subsidised by government. Whilst this worked well when the system was brought in and the subsidy was around half the fee, that is not the case now and means it is a barrier to those just about managing. Again, we are looking at this as part of our focus on prevention and early intervention.
    One advantage we have is that health and social care is the responsibility of one government department. We need to improve how we integrate that care, and funding sources are more complicated, but at least we have the political responsibility in one place.

  8. Posted 14/08/2017 at 18:02 | Permalink

    Guernsey trains no doctors it is parasitic to the NHS training programs and makes no financial contribution. Doctors therefore have no training comitments. There is social support for the poorest in society however a large number are caught with marginal incomes.

  9. Posted 02/06/2021 at 14:13 | Permalink

    Given they are a British Crown Dependent they should be operating as an extension of the National Health Service, but perhaps because of the tax benefits of living there mean the populace can’t offer the same National Insurance Contribution maintained health service. As long as this isn’t a stealthy attempt by the UK gov to further remove and dismantle the NHS.

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