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A brief history of NHS funding over the last ten years…

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 plans 1999/2000 : Blair announces NHS funding boost 2002 : Derek Wanless forecasts future funding needs

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A brief history of NHS funding over the last ten years…

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  1. A brief history of NHS funding over the last ten years… Prof John Appleby Chief Economist King’s 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 £18+billion…. …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 maintenance…single 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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