I think the real issue is the conflict of interests that the consultants have.
if they let their waiting lists get high enough then the patients are transferred to the local private hospital where the same consultants are paid MUCH MORE per patient.
so it's in their best interests to do as FEW on NHS as poss so they get as MUCH as they can priviate!
The NHS still has to pay, just at the higher private rate!
want to know the best bit?
the private hospital is ON THE SAME SITE, even uses our theatres for 90% of their ops (they don't have enough so use ours!)
THAT is madness.
Do you really believe that, if there was no private care whatsoever, the NHS would do any more work than it does now? Most private work is done during the hours when the NHS is not using the facilities (or at least it is at Derriford). The situation you describe is the result of regulation to prevent the NHS delaying things excessively.
If we had a competitive, patient driven environment, this situation wouldn't arise in the first place as the incentives would be to treat as many people as possible, not ration care to fit budgets.