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Healthcare in the United Kingdom. Kevin Scharnhorst. Country Overview. The United Kingdom is a sovereign state consisting of four countries: England Northern Ireland Scotland Wales Statistics: 60 Million inhabitants 80% live in England Total size 93,000 square feet
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Healthcare in the United Kingdom Kevin Scharnhorst
Country Overview The United Kingdom is a sovereign state consisting of four countries: • England • Northern Ireland • Scotland • Wales Statistics: • 60 Million inhabitants • 80% live in England • Total size 93,000 square feet • 3rd largest in the European Union • One of most densely populations in the world
Historical Perspective • Evolution rooted from 1948 with the establishment of the National Health Service (NHS) • NHS responsible for providing care to those “Normally” resident in the country. • NHS employs close to 1 million and is the largest organization of its kind in all of Europe.
The National Health Service (NHS) • Provides free care to 99% of its population • Qualifying indigent populations also receive dental and eye examinations free • Wholly funded by the government • Income source based almost entirely from income taxes • Annual expenditures of about 100 billion
Healthcare Delivery Structure • The primary care physicians field majority of medical needs • Primary care physicians (PCP_ work as independent contractors to the NHS and are self employed. • PCP average income is about $104,000 USD per year
Healthcare Delivery Structure • Specialists work in hospital settings and are NHS employees working on salary • Specialists average income starting at $35,000 to $60,000 USD per year • Salary scale grows respectively from junior to senior level experience.
Healthcare Delivery Structure Statistics: • 163.93 physicians per 100,000 inhabitants • Compared to 249 in USA
Problems with Healthcare Delivery “a total of 74,814 patients in England were waiting for hospital admission for eye, nose, and throat complaints. Of these, 44.5% waited for less than three months, 27.3% waited three to five months, 17.75 waited six to eight months, and the remainder waited longer.” (2010, Grant) For these reasons, patients will seek out health care in the private sector. However this is only a very small fraction of the population. 99% of the populations health care needs are met by the NHS, leaving only 1% that seek out care from private providers.“ (2010, Grant)
Summary • Access is to healthcare is good • The United Kingdom ranks just below the USA at 13.7% out of 191 countries considered in terms of effectiveness • Primary care physicians play a key role in contrast to their emphasis in the USA.