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'NHS should not treat those with unhealthy lifestyles' say Tories
Last updated at 23:22pm on 04.09.07
David Cameron is considering NHS Health Miles Cards to reward clean living
Failing to follow a healthy lifestyle could lead to free NHS treatment being denied under the Tory plans.
Patients would be handed "NHS Health Miles Cards" allowing them to earn reward points for losing weight, giving up smoking, receiving immunisations or attending regular health screenings.
Like a supermarket loyalty card, the points could be redeemed as discounts on gym membership and fresh fruit and vegetables, or even give priority for other public services - such as jumping the queue for council housing.
But heavy smokers, the obese and binge drinkers who were a drain on the NHS could be denied some routine treatments such as hip replacements until they cleaned up their act.
Those who abused the system - by calling an ambulance when a trip to the GP would be sufficient, or telephoning out of hours with needless queries - could also be penalised.
The report calls for a greater emphasis on the "citizen's responsibility" to be healthy and says no one should expect taxpayers to fund their unhealthy lifestyles.
Yet while the Health Miles Card would award points for giving up smoking and losing weight, it could penalise those who are already fit and well because they would receive no benefits under the scheme.
Also, the NHS already demands that obese patients lose weight before receiving hip replacements.
And any moves to impose compulsory cards on patients would provoke a backlash from civil liberties groups.
The Dorrell report also calls for a consultation on raising the smoking age to 18 and for shops to be stripped of their licences if they sell tobacco and alcohol to minors.
It proposes a fully-trained nurse to be made available to every school to offer advice on sexual health - but Tory officials stressed they would not be offering children contraceptives.
Ministers should divert more attention and funding to public health epidemics which are costing the NHS billions a year, the report says.
Reader views (28)
Here's a sample of the latest views published. You can click view all to read all views that readers have sent in.
I'm starting to think it might be time for the citizens of Britain to take back the health care industry from your government.
- Paul, MS, USA
Of course, Cameron and those of the out-of-touch political class want us all to live to a ripe old age, whereupon they won't be able to afford our pensions.
State run health care results in the next power grab: we make you pay for the maintenance of your body, therefore we own your body and can tell you what you must do with it.
- Neal Asher, Chelmsford, England
I personally would like to take complete responsibility for my own health. If the government were to allow me to opt out of paying for the NHS three-times the amount it would cost me for private medical insurance I would go that route at once. As it is, I've paid for it, and I will damned well have it. There's a lot of talk in government about contracts, but they made a contract with me the moment they started extracting money from my pay packet. If they break that contract, I am entitled to all my money back, with interest. As it is, the moment they start refusing treatment to me because I'm a smoker is the same moment I stop paying NI.
- Neal Asher, Chelmsford, England
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