NHS car park charges – what’s the real issue?

I was on @daybreak TV this morning at 7.15am talking about NHS car parking charges. It’s reoccurring subject and Cambridge University Hospitals NHS FT and the Royal Free Hospital NHS FT were both ‘named and shamed’ as the worst offenders for high charges. Patients were interviewed who had racked up £100’s of pounds in parking costs and viewers tweeted in that even as staff, they had to pay. (It’s worth saying that not everyone is bothered by this, 33% of people don’t have access to a car.)

But are parking charges just a wheeze by hospitals to get more money? Well, yes actually! Hospital car parks do actually take money to run, and the funding can either come from the NHS budget or from our pockets. It’s reckoned that running hospital car parks (maintenance, security) costs the NHS in England £100m a year, so that’s a lot of nurse’s salaries we’d lose if we weren’t paying to park.

The real issue twofold: firstly that the public, on the whole, don’t know this. Where are the signs telling us what the parking fee covers? Where is the information telling us how much was raised from parking last year, how much it cost to run and what the difference was spent on? Transparency is required to build trust and we think hospitals should display this information. That said, some charges are very high and some hospitals don’t give any concessions to people who have to visit frequently (many do have schemes to help those who require frequent visits or who have just been bereaved). It’s up to us to challenge on both of these – send off a FOI to your local hospital asking the questions above – and see if there is a volunteer’s scheme to help with transport such as CareCars in Southend University Hospital NHS FT.

The other issue is that car parking charges are just one way of hospitals raising money – they are desperately looking at ways to bring in more cash such as

  • Private fertility treatment
  • Cosmetic procedures
  • Hotel style rooms for NHS patients
  • Private patients
  • Biomedical research
  • Facility hire

The financial reality of NHS is that there is a shortfall in funding which is getting worse and worse – by 2021 it is estimated that we will need another £22Bn minimum to run services as they are now. Politicians will admit this – yet they won’t admit that the only answer is to review what the NHS is here for and the genuine limits of the service. Increasing numbers of healthcare leaders are publicly  recognising the crisis (e.g. Medical Director of NHS London Andy Mitchell and David Bennett, CEO of Monitor) but we wait with bated breath for some candour from our politicians. This is the real issue; in the meantime the public feel they are being fleeced.

About Julia Manning

Julia is a social pioneer, writer and campaigner. She studied visual science at City University and became a member of the College of Optometrists in 1991, later specialising in visual impairment and diabetes. During her career in optometry, she lectured at City University, was a visiting clinician at the Royal Free Hospital and worked with Primary Care Trusts. She ran a domiciliary practice across south London and was a Director of the UK Institute of Optometry. Julia formed 20/20Health in 2006. Becoming an expert in digital health solutions, she led on the NHS–USA Veterans’ Health Digital Health Exchange Programme and was co-founder of the Health Tech and You Awards with Axa PPP and the Design Museum. Her research interests are now in harnessing digital to improve personal health, and she is a PhD candidate in Human Computer Interaction (HCI) at UCL. She is also dedicated to creating a sustainable Whole School Wellbeing Community model for schools that builds relationships, discovers assets and develops life skills. She is a member of the Royal Society of Medicine’s Digital Health Council. Julia has shared 2020health's research widely in the media (BBC News, ITV, Channel 5 News, BBC 1′s The Big Questions & Victoria Derbyshire, BBC Radio 4 Today, PM and Woman's Hour, LBC) and has taken part in debates and contributed to BBC’s Newsnight, Panorama, You and Yours and ITV’s The Week.
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