More on NHS Funding and Expenditure: Questions of Balance Regarding Income Versus Outgoings (BBC News / King’s Fund / Health Foundation / BMJ)

Summary

NHS England hopes to save between £100 – £400 million of spending annually, by no longer funding / prescribing products and services identified by NHS Clinical Commissioners as having little or no clinical value.

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Reference

Triggle, N. (2017). NHS targets suncream prescriptions for cuts. London: BBC Health News, March 28th 2017.

This relates to:

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NHS England to issue new guidance on low value prescription items. London: NHS England, March 28th 2017.

Approaches to Funding

Different NHS funding models have been much in debate recently:

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Reference

Pym, H. (2017). Should the NHS have its own tax? London: BBC Health News, March 16th 2017.

This relates to:

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Health and social care: delivering a secure funding future. An interim report. London: Patients Association, March 2017.

More funding speculation:

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Reference

Pym, H. (2017). Could private investors fund a new wave of hospitals? London: BBC Health News, April 10th 2017.

Amid questions about sustainability of NHS funding, the King’s Fund offers brief international comparisons and a summary of the alternative funding models. Most countries fund health care using a combination of methods.

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Reference

McKenna, H. Dunn, P. [and] Northern, E. [et al] (2017). How health care is funded. [Online]: King’s Fund, March 23rd 2017.

Rising Imbalances?

With the NHS England Five Year Forward View now half-way through towards completion, a Health Foundation report analyses reasons for growing concern about the prospects of closing funding gaps:

  1. The financial position of NHS providers has continued to worsen.
  2. Additional funding for health care announced in the 2015 Autumn Statement has been front-loaded in 2015/16 and 2016/17, but rising costs continue to out-pace the growth in the funding for NHS providers.
  3. Demand for care has risen faster than NHS provider income. Emergency admissions have “crowded-out” elective admissions.
  4. Projected NHS efficiency gains have become increasingly slow, difficult to achieve and have fallen below target.
  5. Consultant numbers have increased, yet consultant productivity has fallen (a case of diminishing marginal utility or inappropriate deployment?).
  6. The NHS does not operate in isolation, so whole-system re-design and improved integration remain important for tackling intractable financial problems and under-performance at their root cause(s) across the health and care system.

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Reference

Lafond, S. Charlesworth, A. [and] Roberts, A. (2017). A year of plenty? An analysis of NHS finances and consultant productivity. London: Health Foundation, March 2017.

For further information, on NHS England’s Five Year Forward View: Next Steps plans, refer to NHS England’s Five Year Forward View: Next Steps On (NHS England).

A Growing Role for the Independent Sector?

A Health Foundation analysis for the Financial Times discovered that, in England, about £1 in £8 (12.5%) of local commissioning budgets gets spent on care provided by non-NHS organisations. Overall, the Department of Health is thought to spend less than 10% of its budget on independent providers.

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Reference

NHS bosses ‘spent half of extra Autumn Statement cash on outside services’. London: BBC Health News, March 27th 2017.

Miscellaneous Other Economies

Possibly of interest:

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Reference

NHS to introduce £20m cap on new drugs. London: BBC Health News, March 15th 2017.

Believe It or Not?

An “upbeat” assessment of supposed-problems and dismissal of common NHS-related “myths”, which aims to minimise readers’ concerns about the NHS and / or displace responsibility elsewhere:

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Reference

Anandaciva, S. (2017). NHS myth-busters. [Online]: King’s Fund, March 23rd 2017.

Running on Fumes?

A fairly predictable “smoke and mirrors” allegation, intended to rally the troops for the British Medical Association’s annual conference:

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Reference

Triggle, N. (2017). BMA chief: NHS is ‘running on fumes’. London: BBC Health News, June 26th 2017.

Reality Check: More Spent on the NHS Than Previously Estimated

Previous estimates of the proportion of UK GDP allocated to health were probably on the low side:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Appleby, J. [and] Gershlick, B. (2017). Keeping up with the Johanssons: How does UK health spending compare internationally? BMJ. August 3rd 2017; 358: j3568.

On the role of the Office for Budgetary Responsibility (OBR):

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Appleby, J. (2017). Health spending: is there another way to plan? BMJ. July 14th 2017; 358: j3299.

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About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in BBC News, Charitable Bodies, Commissioning, Department of Health, Health Foundation, In the News, Integrated Care, King's Fund, National, NHS, NHS England, Nuffield Trust, Quick Insights, Standards, Statistics, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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