Pressures in UK HealthcareChallenges for the NHS.ppt

Pressures in UK Healthcare:Challenges for the NHS Carl Emmerson Chris Frayne Alissa Goodman Health spending NHS spending since 1979 Increases in NHS spending NHS spending since 1979 NHS spending since 1979 Further increases in NHS spending NHS spending since 1979 NHS spending since 1979 NHS spending since 1979 NHS spending NHS spending NHS spending 1949 - 2004 Where does NHS money go? Hospital and Community Health Services Family Health Services Central Health and Miscellaneous Services Departmental Administration Hospital and Community Spending Hospital and Community Spending Pressures in UK Healthcare:Challenges for the NHS In the second part of the presentation, we ask what the important issues facing the National Health Service are now and what they will be in the future. Economic justifications Equity arguments Efficiency arguments Social returns to health Lack of consumer information Problems with insurance markets What type of intervention does this justify? International comparisons NHS one form of government intervention Healthcare models vary Social insurance models in France and Germany Greater reliance on the private sector in Switzerland and the US Countries also differ in terms of actual spending and on health outcomes Total health spending in G7 countries Size of the private sector Measuring health outputs Measuring health outputs Measuring health outputs Measuring health outputs Cancer survival rates Other measures of NHS quality: inpatient waiting lists Indicators of quality: inpatient waiting lists Why do we care about waiting lists? Whenever there is demand for a scarce good it will be rationed Waiting reduces benefits of treatment Increases use of private sector For certain ailments some individuals may decide not to get treated at all Waiting times Indicators of quality: waiting times Indicators of regional variation: per cent of population on a waiting list Indicators of regional variation: per cent of population on a wait