A brief history of NHS funding over the last ten years - PowerPoint PPT Presentation

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A brief history of NHS funding over the last ten years

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A brief history of NHS funding over the last ten years Prof John Appleby Chief Economist King s Fund Bust, boom, bust? 1997-2000: Stick to Conservative spending ... – PowerPoint PPT presentation

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Title: A brief history of NHS funding over the last ten years


1
A brief history of NHS funding over the last ten
years
Prof John Appleby Chief Economist Kings Fund
2
Bust, boom, bust?
  • 1997-2000 Stick to Conservative spending plans
  • 1999/2000 Blair announces NHS funding boost
  • 2002 Derek Wanless forecasts future funding
    needs
  • 2007 CSR slow down in NHS funding growth

3
to 130 billion
A real increase of 110
From 44 billion
4
to 1 in 12
From 1 in 20 in the entire economy spent on the
NHS
5
After years of parsimony
political decision to spend more
but growth slows (it will feel like a cut)
6
On target for Wanless recommendations?
but now catching up
Historically, UK has lagged behind EU-15
countries
7
The 64 billion question Where did the money go?
8
higher costs
Inflation absorbed 18billion.
leaving around 56 of the cash increase to buy
extra things
9
higher pay costs
Pay inflation up 80 in ten years.
Large pay awards for doctors in particular as a
result of new contracts .
10
more staff
A quarter of a million new NHS staff over ten
years. But last few years have seen minimal
increases as NHS deals with deficits and plans
for a tighter financial future
11
shorter waiting times
Waiting list now at its lowest since 1974.
and waiting times reduced massively virtually
no one waiting more then 6 months.
12
more patients
11 increase in elective admissions.
13
more, more, more!
  • Virtually all NHS Plan shopping list targets
    met
  • 100 new hospitals
  • Modernising 3,000 GP premises
  • 75 of all MRI/CT scanners and linear
    accelerators now new
  • But, problems with ICT investment
  • backlog maintenancesingle rooms

14
.value for money?
  • Higher unit costs
  • Lower admissions per consultant and per nurse.
  • Official productivity measures show downward
    trend
  • Poor financial control (deficits)

15
greater satisfaction?
Net satisfaction with NHS overall highest it has
been since 1980s.(shame about NHS dentistry)
16
www.kingsfund.org.uk
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