Just a few weeks after a leading government think-tank recommended charging patients £10 to see their GP, see: http://hpanwo-hpwa.blogspot.co.uk/2013/11/10-fee-to-see-your-gp.html. Now a survey at "Doctors.net", see: http://www.doctors.net.uk/, claims that a third of all doctors think patients should have to pay a provisional fee for admittance to Accident and Emergency departments. This fee would be reimbursed to the patient after treatment... should treatment be necessary. If the patient is discharged without treatment the hospital keep the tenner. The perceived need for this measure is the number of people who turn up at A&E when they have only a minor injury, can't be bothered to make a GP appointment or are just drunk etc. The Department of Health says it has "no plans" to make any changes to the system along these lines at present... Yeah, right! Also, the temptation will be there among pressured hospital staff to cut corners and send patients home when they shouldn't be, for the sake of the money. Does this also mean doctors and nurses will have to take on the role of NHS policemen, as with the proposed database to stop "health tourism", see: http://hpanwo-voice.blogspot.co.uk/2013/07/health-tourism-crackdown.html? Who decides? One of the trauma surgeons at my hospital proposed a much simpler solution; he offered to walk through the A&E waiting room wearing his blood-soaked theatre wellingtons. "That's all you need to get rid of the time-wasters!" he said.